COVID-19 Vaccination Card Upload

The Occupational Safety and Health Administration (OSHA) has issued an ETS (emergency temporary standard) to minimize the risk of COVID-19 transmission in the workplace. The ETS establishes binding requirements to protect unvaccinated employees of large employers (100 or more employees) from the risk of contracting COVID-19 in the workplace. You can read about this mandate at This ETS requires that employers determine and obtain acceptable proof of vaccination status of each employee. Please fill out the form below and provide a photo or PDF of your COVID-19 Vaccination Record Card.
Vaccination Status(Required)
If not Vaccinated, do you plan to get the vaccine?
Drop files here or
Accepted file types: jpeg, jpg, gif, png, pdf, Max. file size: 32 MB.
    You can take a photo of your card or upload a photo you already have.