Get Traveler Health Form Ny Pdf

Filling out the Traveler Health Form is essential for ensuring the safety and health of everyone entering New York. This guide provides a comprehensive overview of each section of the form, making it easy for users to complete the document online.

Follow the steps to fill out the Traveler Health Form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter your last (family) name and first (given) name in the respective fields.
3. Select your primary state of residence from the options provided — either 'NYS' or specify another state.
4. Fill in your birth date, using the Month/Day/Year format.
5. Choose your gender from the options available: Male, Female, or Non Binary.
6. Input the date of your arrival in New York using the Month/Day/Year format.
7. Indicate whether you have been in a state with significant community spread in the last 14 days by selecting ‘Yes’ or ‘No’. If 'Yes', list the state and the last date spent there.
8. Specify how you traveled into New York, selecting all applicable modes of transport.
9. If you traveled by air, provide the airline name, flight number, and seat number.
10. Enter the address of your final destination, including hotel name, city, state, and zip code.
11. Indicate if your final destination is your primary residence in New York with a 'Yes' or 'No' response.
12. Provide your telephone numbers, marking which is mobile, as well as your email address.
13. Answer the symptom-related questions based on your current health status.
14. If applicable, complete the section regarding essential worker status by answering the questions provided.
15. Review all information for accuracy, then attest to its truthfulness by signing and dating the form.
16. Finally, you can save changes, download the completed form, print it, or share it as needed.

Complete the Traveler Health Form online today to assist in maintaining a safe travel environment.