COVID-19 Vaccination Status Tracking form for Santa Clara

Securely collect proof of vaccination from employees. With Jotform, you can create free self-certification of vaccination status forms to ensure that employees are ready to safely return to work. Collect employee health data, file uploads of vaccination cards, and more.


Self-Certification of Vaccination Status Form

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.

Self-Certification of Vaccination Status Form

Template 211463921267051

Self-Certification of Vaccination Status PDF

Template 211463921267051


How to use it?

1. Clone Jotform’s form template

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!

2. Share with your employees

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.

3. Download submissions as PDFs

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.


What our users say about Jotform

Jotform is an amazingly convenient tool for web design teams. We use it for both our client’s sites and our own. Jotform supports our client’s form goals without affecting the feel or purpose of the design. The integrations and automations save us a ton of time. We can customize the form and its function as we see fit. We are even able to customize email notifications with our own HTML. We’ve come upon other form providers over the years but they don’t compare as Jotform is continually advancing. Keep up the good work!

Andrew Jones, Web Designer, UpEngine