Influenza Vaccination Declination Waiver
Please complete this form if you wish to decline the influenza vaccination. Read the waiver statement carefully before signing.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Department or Work Area
Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature
*
Submit Waiver
Submit Waiver
Should be Empty: