Is this a New Hotel Reservation Request, or is this an Extension Request to a Current Hotel Stay? *

HOTEL EXTENSION REQUESTS FOR NYC HEALTH + HOSPITALS EMPLOYEES DURING COVID-19

If you are currently enrolled in the staff hotel program and interested in requesting an extension of stay, you must complete this online form at least five (5) business days prior to your scheduled check out date. Extension approvals are at the discretion of NYC Health + Hospitals and not guaranteed. Employees may request up to 2 extension requests. Extension stays have an 8-day limit per each extension request.

A hotel room can only be reserved for isolation purposes.

Requests will be reviewed by Human Resources to verify your employment status, and determine the appropriateness of the request and length of stay.

If you do not receive approval confirmation prior to the date of your scheduled departure, you are required to check out on your scheduled check out date. Any personal belongings left-behind will be subject to the rules and policies set forth by the hotel.

Please complete and submit the form to be considered for an extension. You will receive a decision of the extension request via email within 48 hours.

Employee Information

First Name *

Last Name *

Date of Birth *

Employee ID # *

The 9-digit TKID number found on the back of your employee photo-ID card

Office Title *

Department *

Facility/Location *

NYC Health + Hospitals Email address *

To secure a reservation, you must use your NYC Health + Hospitals employee email. Without it, your reservation will be denied.

Email address (to send confirmation) *

Mobile # (for call back)*

Date you are scheduled to check out *

New date you are requesting to check out, after extension *

Extension stays are for up to 8 days only.

Direct Supervisor’s Information

First Name *

Last Name *

Title *

Email *

Telephone #*

How many extension requests have been approved? *

Hotel you are currently staying at *

Attestation

Have you or a member of your household tested positive for COVID19 in the last 14 days? *

Yes

Do you currently have cough shortness of breath, sore throat, diarrhea, chills, new loss of taste and smell? *

Yes

Have you traveled to an area with high levels of community transmission of COVID19 in the last 14 days? *

Yes

If the information submitted cannot be verified, or has missing or inaccurate information, the extension request will not be granted.

For general questions related to extension requests, please contact the COVID19-HOTEL-SUPPORT-HOTLINE at 646–694–5100 or hotelreservations@nychhc.org

You acknowledge and understand that this website uses a service called Google reCAPTCHA to prevent abuse. Google reCAPTCHA works by collecting hardware and software information, such as device and application data, and sending these data to Google for analysis. The information collected in connection with your use of the service will be used for improving reCAPTCHA and for general security purposes. It will not be used for personalized advertising by Google. Please review the Privacy and Terms policies.