GA-11 and GA-12 Travel-Related Quarantine Exemption Form

GA-11 and GA-12 Travel-Related Quarantine Exemption Form

If you or your Company falls within the essential services categories as defined by Texas Executive Order GA-14, you and your employees are automatically exempt from the travel-related quarantine requirement and are not required to apply for an exemption via this form.

As required by Governor Abbott’s Executive Orders GA-11 and GA-12, the Texas Division of Emergency Management will determine, on a case-by-case basis, whether the self-quarantine order applies to individuals traveling in connection with commercial activity, military service, emergency response, health response, or critical-infrastructure functions.
NOTE
  • Federal employees and their contractors are exempt from GA-11 and GA-12 if traveling for business purposes.
  • Individuals traveling for essential health care services (unrelated to COVID-19) with a doctors note are exempt and do not need to apply for an individualized exemption.

Company Description

Positions Requesting Exemptions

By submitting this form, you confirm that the listed information is accurate.