COVID-19 Vaccination Verification


As per the University of Colorado's COVID-19 vaccination policy, "This policy, requires all Individuals who currently or may in the future access any CU Anschutz facility or participate in any CU Anschutz program, or whose employment or academic activities may require in-person interaction with other CU Anschutz employees, students, patients, study subjects, or members of the public, regardless of location to become fully vaccinated against COVID-19 with a vaccine that has been approved by the World Health Organization (“WHO”) as of June 1, 2021, subject to limited exceptions and exemptions. In addition, this policy requires Individuals to receive booster shots for those specific vaccines, as required by the WHO or Centers for  Disease Control as of June 1, 2021. The WHO has approved the following COVID-19 vaccines: Pfizer-BioNTech, Moderna, Johnson & Johnson, Oxford–AstraZeneca, Sinovac, and Sinopharm."


Name*

By providing your signature, you attest to the following:

I certify that I have completed the University of Colorado Anschutz Medical Campus online vaccine verification form in its entirety.

Date of Online Verification Completion*
Use your mouse or finger to draw your signature above