The purpose of this form template is to help organizations take steps to prevent the spread of COVID-19 in the workplace and to protect the health and safety of all on-site employees, contractors, and visitors.
Accompanying state or federal issued identification, valid forms of vaccination proof include:
- Original, copy, or electronic photo of the CDC vaccination card (or similar documentation issued by another foreign governmental jurisdiction); or
- Documentation from a healthcare provider; or
- Personal digital COVID-19 vaccine record issued by another State, local, or foreign governmental jurisdictions; or
- Personal digital COVID-19 vaccine record issued by an approved private company.