Release from Quarantine Request Form First Name *Middle Initial Last Name *Suffix Sr.Jr.IIIIVVEmail *Gender *MaleFemaleTransgenderOtherExposure Date *Expected End of Quarantine *Address *Address 2 City *State NYCTMANJPAZip *Date of Birth *Please fill out the complete yearToday's Date Certify1 *I certify that it has been at least 10 days since I had close contact (within 6 feet for a minimum of 10 minutes) with a person who was infected with COVID-19, or it has been at least 14 days since I have been fully vaccinated.Comments EmailSubmit