Document vaccination of employees and others: Proof of Vaccination
What is a Proof of Vaccination?
A Proof of Vaccination form allows someone to confirm that they have been vaccinated against certain infectious diseases. Sometimes an employer will need to verify that an employee has been vaccinated before they are able to start work. Other times, schools may require students to have certain vaccinations before they can attend school. In the case of COVID-19, you may wish to collect proof of vaccination before employees are allowed to return to the workplace or gather socially. In any of these scenarios and many others, this online Proof of Vaccination from Rocket Lawyer makes it easy to collect such information for a range of vaccines, including the COVID-19 vaccine.
How do I get my Proof of Vaccination reviewed?
If you already have a Proof of Vaccination and want to have it reviewed, or if you have questions about creating or using one, there are a few ways to get help.
Use Rocket Copilot to ask questions or review your document; this helps you better understand what it says and identify anything that may need a closer look.
If you are looking for help from a Legal Pro, you can also ask a question and receive a response within one business day, or request a more in-depth document review.
Sample Proof of Vaccination
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Personal Information
Address:
,
Email:
Phone:
Please check the vaccine(s) that received:
I, received the vaccine(s) listed above and that all information on this form is correct and true.
| ___________________________________ | __________________ |
| Date |
Proof of Vaccination FAQs
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Can businesses require proof of vaccination?
In general, yes. Businesses may request proof of vaccination from employees and from customers to keep their staff and communities-at-large safe. The Equal Employment Opportunity Commission (EEOC) has stated that COVID-19 vaccination mandates are allowed, as long as employers don't violate federal guidelines that protect against discrimination. For example, under the Americans with Disabilities Act (ADA) and Title VII of the Civil Rights Act, reasonable accommodations must be provided for employees who have a disability or sincerely held religious belief that prevents them from being vaccinated. Such exemptions should be documented in a Vaccine Exemption form signed by the employee. In general, it is also a good idea to document your overall Vaccination Policy and have it reviewed by a Legal Pro.
Several states, including Texas, Florida, and Montana, have imposed some limitations around vaccine verification, policy enforcement, and incentives, so it is in your best interest to talk to a local attorney to see if there are additional restrictions that may apply to your business.
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What vaccines does this verification form cover?
This Proof of Vaccination form enables you to request verification of a number of common vaccines. When building your document, you may select which vaccines to include and customize the form to include any others. Here is the full list of vaccine options, organized in alphabetical order:
- Adenovirus
- Anthrax
- Cholera
- Coronavirus (COVID-19)
- Haemophilus Influenzae Type b (Hib)
- Hepatitis A
- Hepatitis B
- Human Papillomavirus (HPV)
- Influenza (Flu)
- Japanese Encephalitis (JE)
- Measles, Mumps, Rubella (MMR)
- Meningococcal
- Poliomyelitis (Polio)
- Rabies
- Rotavirus
- Shingles
- Smallpox
- Tetanus, Diphtheria, Pertussis (Tdap)
- Tuberculosis
- Typhoid Fever
- Varicella (Chicken Pox)
- Yellow Fever
For the COVID-19 vaccine specifically, you also have the option of requesting information about the manufacturer of the vaccine and the date(s) it was received.
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Is asking for proof of vaccination a HIPAA violation?
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) is a federal law that protects patient health information from being disclosed without permission. HIPAA generally applies to healthcare providers and insurance companies, so most private businesses and employers are not subject to HIPAA as it relates to requesting or receiving information about an individual's vaccination status.
