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COVID-19 Vaccination or Exemption Declaration Form for RIW cardholders
This article provides information for cardholders regarding the COVID-19 Vaccination or Exemption Declaration Form for RIW cardholders.
This instruction applies to:
- RIW Cardholders
At some worksites, a cardholder's COVID-19 immunisation status can be managed as an employer-based competency using the RIW System, ensuring compliance to state and/or federal health directives. This means that immunisation status is captured as a site requirement, so if a cardholder attends site without having met site requirements, they can be denied access to site.
Download and print the COVID-19 Vaccination or Exemption Declaration Form at the end of this article.
Read the form carefully and fill out the requested details. Provide the form to the worksite Verification Officer, along with supporting documentation, such as immunisation or exemption records.
The signed declaration is uploaded to the RIW System by the Verification Officer or worksite RIW Employer Administrator.
NOTE: Only COVID-19 Vaccination or Exemption Declaration Forms will be provided as evidence against the employer-based competency in the RIW System. Medical records will not be retained.
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