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COVID-19 Vaccine Declination Form

Looking for a template to use when your employee declines the COVID-19 vaccine? We've got you covered. Fill out your information to download the 2021 COVID-19 Vaccine Declination Form.

This form also includes employer tips such as:

  • What is required vs. what is recommended
  • Employee exemptions
  • Documentation storage
  • Privacy considerations

Please keep in mind that while you may recommend or require the COVID-19 vaccine, there are protections in place for those with religious or disability reasons.

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