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How do I fill this out?
To fill out this form, answer all the screening questions accurately and honestly. Sign and date the form to complete it. If you answer 'Yes' to any of the questions, follow the indicated guidelines to determine if you can attend the showing or meeting.

How to fill out the Coronavirus Health Questionnaire Screening Form?
1
Review the form's purpose and instructions.
2
Answer the screening questions by selecting 'Yes' or 'No'.
3
Fill in your personal information including name, date, and property address.
4
Sign the form to confirm your answers.
5
Submit the completed form to the real estate licensee or brokerage.
Who needs the Coronavirus Health Questionnaire Screening Form?
1
Real estate agents need this form to ensure the health and safety of everyone involved in property showings.
2
Property buyers and renters need this form to confirm their health status before attending in-person showings.
3
Real estate brokers use this form to comply with safety protocols during the COVID-19 pandemic.
4
The Real Estate Board of New York requires this form for all in-person property showings.
5
Property sellers need this form filled out by potential buyers or renters to protect themselves from COVID-19 exposure.
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How do I edit the Coronavirus Health Questionnaire Screening Form online?
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1
Open the PDF on PrintFriendly.
2
Click 'Edit' to activate the editing tools.
3
Enter your information into the relevant form fields.
4
Review the form to ensure all details are correct.
5
Save your edited PDF for submission.

What are the instructions for submitting this form?
Submit the completed form to your real estate licensee or brokerage company within 24 hours of the scheduled meeting or showing. Forms can be submitted via email, fax, or physical delivery to the specified address provided by your real estate representative.
What is the purpose of this form?
The purpose of this form is to promote health and safety during in-person property showings or meetings by screening attendees for potential COVID-19 risks. By answering the screening questions, individuals provide critical information needed to mitigate the spread of the virus. Ensuring that all attendees meet the health criteria helps protect everyone involved and adhere to guidelines set by the Real Estate Board of New York.

Tell me about this form and its components and fields line-by-line.

- 1. Screening Questions: Five questions aimed at identifying potential COVID-19 exposure or symptoms.
- 2. Personal Information: Sections for the attendee's name, signature, date, and property address.
- 3. Real Estate Licensee Information: Details about the real estate licensee and brokerage company.
What happens if I fail to submit this form?
If you fail to submit this form, you may be denied entry to the property showing or meeting. This could impact your ability to view or discuss the property in-person.
- Non-Compliance: Failure to provide the form may result in non-compliance with safety protocols.
- Health Risk: Without the form, there's a higher risk of spreading COVID-19 during the meeting or showing.
How do I know when to use this form?

- 1. Property Showings: Before attending an open house or property showing.
- 2. Real Estate Meetings: For scheduled in-person meetings with real estate agents or brokers.
- 3. Travel from High-Risk Areas: If you've traveled from a state or country with mandated quarantine periods.
Frequently Asked Questions
Can I edit this COVID-19 health form on PrintFriendly?
Yes, you can edit the form directly on PrintFriendly using the PDF editor.
How do I fill out the health screening questions?
Answer each question truthfully by selecting 'Yes' or 'No' based on your recent health and travel history.
Can I sign the document digitally?
Yes, PrintFriendly allows you to add a digital signature to the form.
How can I share the completed form?
You can share the form via email or generate a shareable link through PrintFriendly.
Do I need to provide my personal information?
Yes, you need to provide your name, signature, and date on the form.
Can I download the filled form?
Yes, after filling and signing the form, you can download it as a PDF.
What if I answer 'Yes' to any questions?
Follow the indicated guidelines to determine if you are allowed to attend the showing or meeting.
How do I ensure my information is saved?
Make sure to save the form after editing and before downloading it.
Can real estate brokers use this form?
Yes, brokers can use this form to comply with COVID-19 safety protocols.
Is the information on this form confidential?
Yes, the information provided is confidential and used only to determine if an in-person meeting can occur.
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