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

HOTEL RESERVATIONS FOR NYC HEALTH + HOSPITALS EMPLOYEES

NYC Health + Hospitals Emergency Hotel Employee Program serves as place of isolation for non COVID employees in active status whose work puts them in direct contact with COVID patients. Initial stays of up to 14 days will be granted.

Please complete and submit the form. You will receive confirmation and other relevant hotel information via email once approved.

Contact HotelReservations@nychhc.org or the COVID-19 HOTEL-SUPPORT-HOTLINE (646-694-5100) with any questions or issues.

If you are a traveling medical worker, please work with your home agency to secure lodging accommodations.

This form is for new reservation requests only. To request an extension on an existing stay, please select “Hotel Reservation Extension Request” from the drop down button located above.

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 will arrive at the hotel *

Date you plan to check out of and leave the hotel *

Initial stays of up to 14 days will be granted.

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 #*

Special Requests

Location preference

Do you require an accessible room, refrigeration for medication, wheelchair/scooter, or have a service animal?

Do you have a license or certification? *

Yes

State of license or certification? *

License or Certification # *

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

It is required that you get COVID-19 tested within 24 hours, quarantine at home, and immediately inform your supervisor.

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

Yes

It is required that you get COVID-19 tested within 24 hours, quarantine at home, and immediately inform your supervisor.

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

Yes

It is required that you get COVID-19 tested within 24 hours, quarantine at home, and immediately inform your supervisor.

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

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

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

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