Statement of Symptoms and Quarantine
Pursuant to the Governor of New Hampshire’s Emergency Order 27, all registered guests must attest that they are not exhibiting any symptoms of COVID-19. Additionally, registered guests checking in must provide a New England driver’s license as proof of residency. For non-New England guests, they must attest that they have quarantined at home for 14 days or for 7 days and then tested and received a negative diagnosis for COVID-19. Approved COVID-19 tests are PCR-based (molecular) tests. Guests cannot have traveled by public transportation.
Symptoms Statement (Required by all guests):
By signing this statement, I attest that no one in my party is currently exhibiting any symptoms of COVID-19 such as:
- Have been in close contact with a confirmed case of COVID-19 (NOTE: Healthcare workers caring for COVID-19 patients while wearing appropriate personal protective equipment should answer “no” to this question.)
- Fever in the last 48 hours
- Respiratory symptoms such as sore throat, cough, or shortness of breath
- Changes in a person’s sense of taste or smell
Signed and Dated:
Quarantine Statement required for guest who are not New England (New Hampshire, Maine, Massachusetts, Vermont, Rhode Island, and Connecticut) residents:
By signing this statement, I attest that I and all of the individuals staying with me in my rented accommodations have been quarantined* at home for the past 14 days and have not traveled via public transportation, or have quarantined at home for 7 days and then tested negative for COVID-19 immediately before traveling to NH and have not traveled via public transportation.
*The definition of quarantine in this instance means that the person or people registering to stay at this lodging facility have remained isolated at and may not leave their home, even for work, school, or other essential functions, and the person traveling to NH may not end quarantine before receiving their test result and before traveling to NH.
Out-of-state first responders and healthcare workers who use PPE as part of their daily work are exempt from the isolate-at-home portion of this requirement.
Signed and Dated: