Www1 nyc assetsdohORDER OF THE COMMISSIONER OF HEALTH AND MENTAL HYGIENE TO 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out the staff member's name and start date in the designated fields. Ensure accuracy as this information is crucial for compliance.
  3. Next, indicate the type of proof of vaccination submitted. You can select from options such as single dose or two-dose vaccines.
  4. For those who have received only the first dose of a two-dose vaccine, specify the date by which proof of the second dose must be provided, ensuring it aligns with the 45-day requirement.
  5. If applicable, document any reasonable accommodations provided for staff members who cannot submit proof of vaccination. Maintain separate records as required by law.
  6. Finally, electronically submit your initial affirmation of compliance by December 28, 2021, using our platform’s submission feature.

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