COVID-19 Travel Advisory Quarantine Report Form

In response to increased rates of COVID-19 transmission in certain states within the United States, and to protect New York’s successful containment of COVID-19, NY State has issued a travel advisory for anyone entering New York from a state that has a significant degree of community-wide spread of COVID-19.

If you have traveled from within one of the designated states with significant community spread, you must undertake a precautionary quarantine when you enter New York for 14 days from the last day you were in a designated state. This does not apply to any individual passing through a designated state for a limited duration (i.e. less than 24 hours) through the course of travel, or essential workers as outlined in the NY State Travel Advisory Guidance.

To report your own travel, or that of an individual failing to adhere to the quarantine pursuant to the NY State Travel Advisory, please submit the form below. Any information you provide is confidential. Items with * are required fields. Thank you.

Additional Information on the NY State Travel Advisory

Traveler's First Name

Traveler's Last Name

Traveler's Street Address

Traveler's City, Town, Village

Traveler's ZIP Code

Traveler's Phone Number

Traveler's Date of Arrival in Erie County

State Traveling From

Your First Name

Your Last Name

Your Phone Number

Your E-mail Address

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