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  • Request for Release Letter

    for Purposes of Federal or State Leave Benefits

     

    If you have been subject to mandatory quarantine or isolation by the Rockland County Department of Health, as a result of Covid-19, you can use this site to request a release that you can provide to your school or employer to show your eligibility to return to school or work.

    THIS PROCESS ONLY IDENTIFIES YOUR RELEASE FROM MEDICAL ISOLATION OR QUARANTINE IMPOSED BY THE ROCKLAND COUNTY DEPARTMENT OF HEALTH AND DOES NOT RELEASE YOU FROM ANY OTHER RESTRICTIONS RELATED TO COVID-19 IMPOSED BY THE STATE OF NEW YORK OR YOUR MEDICAL PROVIDER.


    To proceed, click the Next button to determine if you were subject to an isolation order or a precautionary quarantine or a mandatory quarantine order.

  • Residential Requirement

  • UNABLE TO CONTINUE

    This application is intended for Rockland County Residents only.

    NOTE:  You must be a resident of Rockland County, and you must have been ordered to isolate or quarantine by the Commissioner or her staff at Rockland County Department of Health (and not your medical provider or employer), in order to obtain the release letter or Commissioner’s Order.

  • COVID-19 Testing

  • Adult Care Employee

  • CONTACT DEPARMENT OF HEALTH

    Based on your responses you must speak with a representative of the Rockland County Department of Health in order to receive your Release from Isolation letter. Please contact the Rockland County COVID-19 Call Center at 845-238-1956.

  • Symptoms Experienced

  • Symptomatic Isolation

  • Asymptomatic Isolation

  • Request Denied

  • At this time, your answers indicated you are not qualified to be released from isolation. As such, you remain under isolation as set forth in the Standing Commissioner's Order. Please review the Standing Order to determine when you are qualified to end your isolation.

  • Release from Quarantine Certification

  • Your request has been denied

  • At this time, your answers indicated you are not qualified to be released from quarantine. If you are experiencing symptoms of COVID-19, you should contact your doctor to determine if you should receive a test. If you are not experiencing symptoms of COVID-19, you can request another letter once 14 days have passed since your last exposure.

     

     

  • Personal Information

  •  -  -
    Pick a Date

  • NOTE: If approved, a Release from Quarantine/Isolation Letter will be sent to the address entered above. You must have access to this email address to receive the letter.

  • Certification

  • Should be Empty: