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NY Affirmation of Quarantine or Isolation - County of Erie 2021-2025 free printable template

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County of Erie MARK POINCARE County Executive GALE R. BURSTEIN, MD, MPH, FLAP COMMISSIONER OF HEALTHDEPARTMENT OF HEALTHAFFIRMATION OF QUARANTINE OR ISOLATIONCOMPLETE SECTION (1) IF YOU HAVE BEEN
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How to fill out NY Affirmation of Quarantine or Isolation - County

01
Obtain the NY Affirmation of Quarantine or Isolation form from the county health department's website or office.
02
Fill out your personal information, including your name, address, and contact details.
03
Provide the dates of your quarantine or isolation period.
04
Indicate the reason for quarantine or isolation, such as exposure to COVID-19 or a positive test result.
05
Sign and date the form to affirm that the information provided is accurate.
06
Submit the completed form to your county health department as instructed.

Who needs NY Affirmation of Quarantine or Isolation - County?

01
Individuals who have tested positive for COVID-19 and need to isolate.
02
Individuals who have been exposed to someone who tested positive for COVID-19 and are required to quarantine.
03
Travelers returning from high-risk areas who are mandated to quarantine.
04
Residents as directed by local health authorities for public health safety.
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Isolation should continue for at least 10 days after symptom onset (day 0 is the day symptoms appeared, and day 1 is the next full day thereafter). Some people with severe illness (e.g., requiring hospitalization, intensive care, or ventilation support) may remain infectious beyond 10 days.
If test result is positive, continue to isolate until day 10. If test result is negative, isolation can end, but continue to wear a well-fitting mask around others at home and in public until day 10. Follow additional recommendations for masking and restricting travel as described above.
You are most infectious (or contagious) in the first 5 days after your symptoms start. You can also spread COVID-19 in the 48 hours before your symptoms start.
People with COVID-19 can spread the virus to other people starting two days before they develop symptoms (or 2 days before the date of their positive test if they do not have symptoms) through 10 days after they develop symptoms (or 10 days after the date of their positive test if they do not have symptoms).
People with COVID-19 can spread the virus to other people starting two days before they develop symptoms (or 2 days before the date of their positive test if they do not have symptoms) through 10 days after they develop symptoms (or 10 days after the date of their positive test if they do not have symptoms).
You are most infectious (or contagious) in the first 5 days after your symptoms start. You can also spread COVID-19 in the 48 hours before your symptoms start.

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The NY Affirmation of Quarantine or Isolation - County is a legal document that individuals must complete to acknowledge their status of being quarantined or isolated due to exposure to a communicable disease, such as COVID-19.
Individuals who have been ordered to quarantine or isolate by health authorities in New York are required to file the NY Affirmation of Quarantine or Isolation - County.
To fill out the NY Affirmation of Quarantine or Isolation - County, individuals must provide personal information such as their name, address, contact details, the reason for quarantine or isolation, and sign the document to affirm that all information is accurate.
The purpose of the NY Affirmation of Quarantine or Isolation - County is to formally document an individual's compliance with quarantine or isolation orders, ensuring public health safety and enabling health authorities to track and manage the spread of communicable diseases.
The information that must be reported on the NY Affirmation of Quarantine or Isolation - County includes the individual's full name, date of birth, residential address, contact information, the date of onset of symptoms (if applicable), and the duration of the quarantine or isolation period.
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