Travel Restriction of Movement (ROM) and USFJ COVID ROM Exit Testing Program
In accordance with FRAGORD 002 to USFJ Force Public Health Order 20-002 and in order to further mitigate the risk of importing new COVID-19 cases into Japan due to international travel all SOFA individuals who meet the criteria below must enter a Restriction of Movement (ROM) Status and receive a negative PCR Test, including Active Duty, DoD Civilian Employees, DoD Contractors, and Dependents:
- Individuals who arrive in Japan as part of a Permanent Change of Station (PCS) Move.
- Individuals who arrive or return to Japan as part of Temporary Assigned Duty (TAD).
- Individuals who arrive or return to Japan as part of any Approved Leave period.
Please follow the below steps to ensure you have all of the information and required documents in order conduct your ROM in accordance with current regulations and to be tested on time.
2. Download, fill out and turn in the required ROM Exit Testing forms. COVID-19 TESTING BENEFICIARY REGISTRATION FORM This form will allow personnel and authorized dependents to be registered at the US Naval Hospital Yokosuka in order to be tested.
- Step 1: Download the form to your device.
- Step 2: Open form in Adobe Acrobat.
- Step 3: Click the "pencil" icon and select "Fill and sign."
- Step 4: Fill out the form completely. All blocks are required to register.
- Step 5: Save with the name of the individual as the file name.
- Step 6: Follow the above steps for each person in the household. Save as a different file name for each person
- Step 7: Email all the completed "COVID-19 Testing beneficiary Registration Forms" to USNH Patient Administration: email@example.com
CDNS REGISTRATION FORM This form will allow personnel and authorized dependents to be registered in the Fleet Activities Yokosuka Emergency Mass Notification and Warning System. This system will help CFAY communicate with all personnel during ROM and provide important information about testing as well as keep you informed of any emergency situations. Once filled out you can simply click the “Submit Form” button on the upper left of the PDF or the form can be e-mailed to M-YO-CFAY-EOC@fe.navy.mil with the subject line of CDNS Form.
NMRTC YOKOSUKA COVID-19 LAB SAMPLE INTAKE FORM - This form is required to be completed in paper format and made available to USNH Staff when the individual is tested. Paper copies are available at the CFAY bus desk on arrival, however, it is the responsibility of the command or employer to ensure all persons in ROM are provided blank copies of this form prior to reporting for testing.
3. General ROM Requirements:
- Do not go outside of your domicile/room.
- Do not go to work.
- Do not visit the commissary, NEX, Gym, or other public places.
- In the event of a building evacuation due to emergency, ensure you have a mask and follow the posted egress signs. Separate yourself to the greatest extent possible, if anyone approaches clearly state you were in a ROM status at the time of the evacuation and ask them to maintain appropriate distance.
- Ensure all ROM Exit Testing Forms and requirements are met.
- Conduct daily self-evaluation of yourself and any family members in ROM. Is anyone currently feeling ill, even if the symptoms are mild?
- Loss of taste/smell
- Cough/ Shortness of Breath / Sore throat
- Chills / Body Aches
- Temperature greater than 100.0
IF YES TO ANY OF THESE SYMPTOMS, CONTACT MEDICAL FOR FURTHER GUIDANCE
*CNFJ/CNRJ ROM policy can be more restrictive than Navy policy and all personnel must stay informed current and follow USFJ, CNFJ/CNRJ, or CFAY Public Health Emergency Orders regardless of ROM lodging location.
4. Maintain contact with your parent command and/or command sponsor, ROM Testing rosters are developed using data from the daily ROM reports from tenant commands/activities. (Personnel not being reported will not be scheduled for testing, if you have not be contacted about an exit test by your eighth day of ROM, contact your parent command or sponsor to ensure you are being reported properly).
5. Follow all instructions and requirements on your assigned testing day. Once a sample has been taken for testing, results are generally available within 24 hours.
6. Once you have completed a full 14-Days of ROM and received a negative COVID PCR Test you will be released from ROM by your Parent Command or Organization.
Important Telephone Numbers:
- On Base Emergency: 911 (On Base DSN Line) / 046 816 0911 (Japanese Cell Phone)
- USNH Yokosuka Quarterdeck: 243-7144
- Preventive Medicine Admin Number: 243-9774 / 243-9776
- Preventive Medicine Duty Number: 0080-7709-2693
- USNH Emergency Department Admin Number: 243-5137
- CFAY Emergency Operations Center: 243- 1706 / 1710 / 1715
- CFAY Command Duty Officer: 080-7709-5698 (Japanese Cell Phone)
Questions, Issues, Assistance?
- CFAY Community Information Resource Call Center: 243-9303/9304
- Email: CIRCC@fe.navy.mil
SHOTEX Forms and Guides:
COVID-19 Vaccination DHA Form 207 v11 Translated Guide Do Not Fill Out
MLC COVVAX Mini-Reg List (Excel Spreadsheet)
NOTE 1: All personnel and dependents NOT ASSIGNED to COMSEVENTHFLEET units may not exit ROM until the full 14-day requirement has been met and all occupants receive negative RT-PCR Test results. Personnel will be tested between days 10 and 12 of their ROM period in order to receive a test result before the final day of their ROM period.
NOTE 2: All personnel and dependents WHO ARE ASSIGNED to COMSEVENTHFLEET units may not exit ROM until the full 14-day requirement has been met and all occupants receive negative RT-PCR Test results. Personnel will be tested on day 14 of their ROM. Personnel will NOT exit ROM until all occupants of the domicile receive negative RT-PCR Test results. ROM will be longer than 14 days.
NOTE 3: Dual military, families or roommates will follow the most restrictive testing and release policy of the group. Personnel will NOT exit ROM until all occupants of the domicile required to be tested have a negative RT-PCR Test result.
Emergency Management: A Guide for Personal and Family Preparedness
A Guide for Personal and Family Preparedness. Click the link to download the PDF.
Emergency Evacuation Program (EEP)
Dependents of military personnel and non-emergency essential Dept. of Defense civilians and contractors and their dependents may be subject to evacuation from the Japan area of responsibility when an evacuation is authorized by the US Department of State for their safety and security.
To prepare eligible personnel and families for the possibility of an evacuation, sponsors are required to maintain a USFJ Emergency Evacuation Program (EEP) checklist and packet.
The USFJ EEP packet is mandatory for all newcomers to CFAY who are eligible for evacuation. SOFA personnel that have already prepared an evacuation packet must update the packet with the standardized USFJ EEP checklists and forms no later than July 2018.
To download USFJ checklists, fillable forms, and instructions on how to complete the forms, click on the "USFJ EEP Checklist" link.
Once you have completed your USFJ EEP packet, notify your Command EEP Coordinator and provide them with a copy of your USFJ Form 178-R.
If you have any questions regarding your USFJ EEP packet, contact your Command EEP Coordinator.
If you are having problems accessing the EEP Packet, right click on the above button and choose "Save link as..." to download the packet to your personal computer. This packet is not optimized for mobile devices.
If your download is timing out or you are still having troubles downloading the file, please find below the EEP packet broken up into five sections. As above, you need to right click, save the document to your computer and then open from the downloaded location.
CNFJ Emergency Evacuation Program Brief
There was an issue displaying the embedded PDF within this page.
The browser you are using may not be supported.
Please use the link below to download a copy of the PDF.
PDF Download Link: click here to download the PDF file
Contact Emergency Management
PSC 473 BOX 1
FPO AP 96349-0001