If you would like to use this PDF file in an editable format, just leave your contact information in the CONTACT section of our website. In the comments section just ask me to email this form to you. Make sure you let me know if you want it in Word or Mac form.
Sample Form
You can also log onto CovidVaccineWaiver.com and pay $176 US to get a waiver and card. (Know that in Washington State all employer’s have that right not to accept your card or forms) covidvaccinewaiver.com