With the Occupational Safety and Health Administration’s (OSHA) announcement of a federal emergency temporary standard (ETS) to address the grave danger of COVID-19 infection in the workplace, affected employers must comply with most provisions of the ETS by Dec. 5, 2021, and with its testing requirements by Jan. 4, 2022. To assist you and your business in compliance with this new ETS, TIG Advisors has provided you with a sample template to use for employees to self-report their vaccination status. Note, sample language is included and customization is required for this document.
This form is to be used by employees to self-report their COVID-19 vaccination statuses.