COVID-19 Vaccination/Booster Certification

Summary

This template is a certification for employers to collect information from employees confirming receipt of the COVID-19 vaccine and/or booster shot. This template includes practical guidance, and drafting notes. This template is intended for private employers. It has not been tailored for any jurisdiction. Use this template alone or customize it for one or more jurisdictions. Companies that decide to implement a COVID-19 vaccine policy – be it a mandatory policy requiring employees to obtain the vaccine or a non-mandatory merely suggesting vaccination – should collect written proof of vaccination from their employees. Such proof may include a copy of an employee's vaccination card and/or a certification, such as the instant template, attesting to vaccination. For a template policy requiring employees to obtain the coronavirus (COVID-19) vaccine to minimize transmission of the virus in the workplace, see Coronavirus (COVID-19) Vaccine Policy (Mandatory). For a template policy strongly encouraging employees to obtain the coronavirus (COVID-19) vaccine to minimize transmission of the virus in the workplace, see Coronavirus (COVID-19) Vaccine Policy (Non-Mandatory). For a template documenting an employee's decision to not obtain a coronavirus (COVID-19) shot based on medical reasons, see Declination of Coronavirus (COVID-19) Vaccination for Medical Contraindication. For additional COVID-19 vaccine practical guidance, see Vaccination and Testing in the Workplace State Law Survey and COVID-19 Vaccination: Key Employment Law Issues. For other coronavirus (COVID-19) workplace policies, see Face Mask and Personal Protective Equipment (PPE) Policy, Infection and COVID-19 Event Response and Communication Plan, Quarantine and Isolation Protocols, COVID-19 Testing Policy, and Social Distancing Policy. For more guidance on a wide variety of COVID-19 legal issues, see Coronavirus (COVID-19) Resource Kit. For a resource kit focused on employees returning to work and broken up by key employment law topics, see Coronavirus (COVID-19) Resource Kit: Return to Work. For tracking of key federal, state, and local COVID-19-related Labor & Employment legal developments, see Coronavirus (COVID-19) Federal and State Employment Law Tracker. For COVID-19 workplace litigation trends, see COVID-19 Workplace Litigation Trends. Also see state and federal COVID-19 legislative, regulatory, and executive order updates from State Net, which are available here. For information on drafting workplace safety policies, see Workplace Safety Policies: Key Drafting Tips. For a workplace safety policy, see Workplace Safety Policy. For information on drafting emergency procedure policies, see Emergency Procedure Policies: Key Drafting Tips. For an emergency response procedures document, see Emergency Response Procedures. For state-specific templates on OSHA Act compliance, employee heath, and workplace security, see OSH Act Compliance, Employee Health, and Workplace Security State Practice Notes Chart. For best practices regarding telecommuting employees, see Telecommuting Employees: Best Practices Checklist.