Keep ME Healthy Form for Maine Visitors

To help “Keep Maine Healthy,” guests of Maine commercial lodging establishments, campgrounds, seasonal rentals, or short-term rentals are required to complete this certificate prior to their stay. This initiative promotes the safety of Maine residents and visitors coming to enjoy all Maine has to offer. Guests under the age of 18, or residents of Maine, Massachusetts, New Hampshire, Vermont, Connecticut, New Jersey and New York do not need to fill out the Certificate of Compliance. Please note that our hotel management or staff will not ask for any proof of compliance of the quarantine requirement nor are we expected to enforce this guideline. We also will not ask for proof of a negative COVID-19 test, due to HIPAA laws.

Testing Protocols

COVID-19 testing applies only to the adults in the travel party. Children 18 and under are not required to be tested.

We urge visitors to “Know Before You Go.” Get a COVID-19 test and receive results in your home state before traveling. If you cannot, or choose not to get tested in your own state, you can get tested once you arrive. However, you must quarantine in Maine until you receive your test results. So, check with a Maine testing provider in advance of your visit for availability of tests and turn-around time for results. Testing options nationwide can be found at Get Tested COVID-19.

If you are tested in your home state within 72 hours of your arrival and have not received a result before your departure from home, you may come to Maine and quarantine until your result is received.

Quarantine Protocols

During quarantine, visitors may not interact with others outside their travel party or go into public spaces like shops and restaurants. They may go outside for recreation in uncrowded areas provided they abide by physical distancing guidelines and avoid contact with other people.

For example, if you can do the following a safe distance away from other people, you may:

go for walks and hikes in uncrowded areas
canoe and kayak
bike on uncrowded trails
swim in lakes, ponds and rivers
take a scenic drive
relax and take in the views
get takeout and delivered meals

Keep Maine Healthy Certificate of Compliance for Maine Visitors

The State of Maine asks you to review and attest to the following:
1. I certify that I have not experienced or displayed any of the following COVID-19 symptoms in the last 24 hours:*
Select All
Fever or chills
Sore throat, cough, shortness of breath, or other respiratory symptoms
Muscle aches, severe fatigue, or chills
Changes in taste or smell
2. I certify that I have not had close contact with anyone over the last 14 days who is confirmed to have COVID-19.
3. I certify that ONE of the following is true (PLEASE CHECK ONE):*
I have received a negative test result for COVID-19 on a specimen taken no longer than 72 hours prior to my arrival, consistent with Maine CDC guidance; OR
I will quarantine for 14 days upon arrival in Maine or for the duration of the stay; OR
I have completed a 14-day quarantine in Maine prior to my stay.
(Note: Visitors may be tested for COVID-19 in Maine, but remain in quarantine while awaiting the result.)
4. While in Maine, I agree to do my part to Keep Maine Healthy by following recommended safety measures in order to protect myself and others.
5. I also certify that all persons in my care who are under the age of 18, or who are dependent on my care, meet the criteria described in items 1 and 2. Please provide the names and ages of such persons in your care.

First & Last Name Age
First & Last Name Age
6. I have read and understand this entire Certificate of Compliance and agree the certifications made above are accurate. Visitors may be asked to furnish proof of the negative test result upon request.*

Dated:
MM
DD
YYYY
Signature*
Printed Name*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Email*
Home Phone*
Phone while in Maine*