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COVID-19 Vaccination Authorization Forms

2/10/2021

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Need a COVID vaccine authorization form for your employees? These forms, provided by Littler, are intended to be used to obtain employees’ consent for the release of their vaccination information by the employer to a third party. If you would like to offer this option to your employees, you can download the forms below. 

COVID Vaccination Release Authorization - CT Employer 

COVID Vaccination Release Authorization - TX Employer 

COVID Vaccination Release Authorization - CA Employer 

COVID Vaccination Release Authorization - Provider to Employer 

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  • Membership Resources
    • Member Benefits
    • COVID-19 Resources
    • Newsletters
    • Webinar Archive
    • Agency Momentum
    • Partners & Vendors
  • State Chapters
    • Alabama
    • Arizona
    • California
    • Connecticut
    • Florida
    • Georgia
    • Illinois
    • Massachusetts
    • Michigan
    • New Jersey
    • New York
    • Ohio
    • South Carolina
    • Virginia
    • Washington
    • Wisconsin
  • Education/Events
    • Calendar
    • Annual Leadership Conference
  • Advocacy/Policy
    • Legislative Action Network
    • Issues & Positions
    • Home Care by the Numbers
    • Value of Home Care
  • About HCAOA
    • Mission & Vision
    • Board of Directors
    • Staff
    • Advertising & Marketing Opportunities​
    • The Voice
    • Contact Us
  • Find a Job