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DE COVID-19 Quarantine Clearance Letter Request

Individual Information

* Denotes required information in order to submit your request.
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Home Address Information

Quarantine Information


   * I agree that I am symptom free since my exposure to COVID-19. See Symptoms of Coronavirus

   * I agree to receive notifications, and consent and understand that the Clearance letter will be sent via an unencrypted email.  Unencrypted email is not HIPAA compliant and that unauthorized access is possible. The individual checking this box consents to receiving unencrypted email after this notification.