Form online 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by selecting your status as either Employee, Volunteer, or Other. This helps categorize your submission appropriately.
3. Next, check one of the statements regarding your vaccination status. If you received the vaccine, ensure to attach the required documentation.
4. If applicable, provide details for medical exemptions or religious beliefs that prevent vaccination. Include your physician's name and signature where indicated.
5. Fill in your personal information such as Name, Last 4 SS#, Department/Service, and Date at the bottom of the form.
6. Review all entries for accuracy before submitting. Ensure that any necessary signatures are included.
7. Submit the completed form electronically through our platform or print it out for physical submission to the appropriate office.

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