Covid-19 Vaccination Inquiry

I have been unsuccessful in setting up an account so that I can log in and fill out the survey to see if I'm eligible for a covid shot.  I am interested in getting one asap. 

Hi,

Thank you for making the inquiry at JotForm support.

I hope you can contact the form owner, the corresponding local agency in this case, as they will be able to provide you more details on how you can schedule / fill out their vaccination application form.

Kindly be reminded that JotForm only provides online form creation services. Unfortunately, therefore, we can't help you with scheduling or getting your C-19 vaccination shot.

Please contact your corresponding local agency for further information.

Thanks.