Public affairs 2026

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4.7 out of 5

43 votes

The document is a Contractor Personnel and Visitor Certification of Vaccination form used by the Department of Defense (DoD) to collect information on COVID-19 vaccination status. It outlines the purpose of data collection, privacy statements, and consequences for failing to provide vaccination information. The form must be completed by DoD contractor personnel and official visitors to ensure compliance with COVID-19 workplace safety measures.

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Click ‘Get Form’ to open the public affairs document in the editor.
Begin by entering your name in the designated field (Last, First, MI). This is essential for identification purposes.
Next, input your DoD ID number. This helps verify your affiliation with the Department of Defense.
In the vaccination status section, check the box that accurately reflects your COVID-19 vaccination status. Options include 'I am fully vaccinated', 'I am not yet fully vaccinated', 'I have not been vaccinated', or 'I decline to respond'.
Provide the date in YYYYMMDD format to indicate when you completed this form.
Finally, sign the form by entering your full name in the signature field. Ensure all information is accurate to avoid any penalties.

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Versions	Form popularity	Fillable & printable
2022	4.7 Satisfied (43 Votes)
2021	4.2 Satisfied (76 Votes)
2021	4.8 Satisfied (112 Votes)

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