Use this form to track track employee COVID-19 vaccination status at-a-glance. This form can be used in conjunction with the Self-Certification of Employee Vaccination Status obtained from each employee.
| CDA’s offices will be closed Dec. 25 – Jan. 1. While you can apply or manage your current membership online at any time, please allow additional processing time for new applications. We expect to process all pending applications within the first week of the new year. |
Sample Employee COVID-19 Vaccination Tracking Form
June 23, 2021