New York City requires us to ask some simple questions. Please take a minute to answer these questions which are anonymous in nature and keep us in compliance. Thank you, and we look forward to serving you!
I hereby certify, represent as follows:
Within the fourteen (14) days immediately preceding the Date of Health Declaration Form, I HAVE NOT
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Tested positive or presumptively positive with the Coronavirus or have identified as a potential carrier of the COVID-19 virus or similar communicable illness.
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Experienced any symptoms commonly associated with the Coronavirus.
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Been outside of the United States.
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Been in direct contact with or the immediate vicinity of any person I knew and/or now know to be carrying the Coronavirus or have traveled outside the United States within the last 14-days.
Keeping You Safe
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