Vermont Certificate of Compliance

Please familiarize yourself with the Vermont State Guidelines for Cross-State Travel before your visit.

Vermont Certificate of Compliance

  • 1. I certify that:
    a. I am traveling for essential purposes as defined by the State of Vermont; OR
    b. It has been at least 14 days since my traveling party received the final COVID-19 vaccine dose, and therefore my party is exempt from the testing requirements; OR
    c. I have traveled to Vermont from another state, and received a negative COVID-19 test within three days prior to my arrival in the state; OR
    d. I have not left the state of Vermont for any reason except essential travel in the past 14 days; OR
    e. I have left the state of Vermont, and upon return to the state received a negative COVID-19 test result within three days of my return; OR
    f. I have had COVID-19 within the last 3 months, have recovered, and currently have no symptoms.

  • 2. I also certify that, to my knowledge, I have not had close contact within the past 14 days with a person confirmed to have COVID-19.

    3. I also certify that I am traveling only with members of my household, am staying in a lodging property with only members of my household, and I will only gather with vaccinated individuals or one additional unvaccinated household at a time outside of my household while in Vermont.

    4. I also certify that I do not currently have, and have not had in the past 24 hours, any of the following symptoms:
    • Cough;
    • Difficulty breathing;
    • Fever (feeling feverish or have a measured temperature at or above 100.4°F/38°C);
    • Chills;
    • Repeated shaking with chills;
    • Muscle or body aches;
    • Headache;
    • Sore throat;
    • New loss of taste or smell;
    • Congestion or runny nose;
    • Nausea or vomiting, diarrhea

    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 1–3 above.
  • 6. By way of this form, I have been informed that out-of-state guests are encouraged to register with the Vermont Department of Health’s Sara Alert system* and to provide updates to that system daily.