Jotform’s vaccination status self certification form helps organizations securely collect and track employee vaccination status online. Create a self-certification form to support safe returns to work, collect employee health details, and request file uploads like vaccination card images. Jotform keeps the process simple for employees and centralizes submissions for your records.
Templates
Don’t have the time to create a form from scratch? Select our readymade template to create your company’s online self-certification of vaccination status form in just a few clicks.
Benefits
We’ve already converted Santa Clara County’s official self-certification of vaccination status form from a PDF to an online form, so all you need to do is clone the online form template to your Jotform account!
Send your online form to your employees to fill out on any device. Employees will be able to enter their contact info, view terms and conditions, mark checkboxes, and sign the form seamlessly from their smartphone, tablet, or computer.
Convert responses into the original PDF format automatically upon submission. Then download them all in a single click so you can keep them for your records.
Testimonials

