City of St. Louis Employee COVID-19 Vaccine Incentive Form

To receive your $100 gift card, complete this form and return it to your payroll clerk or to Employee Benefits

Publication Date: 08/03/2021
Document Type: Printed Forms and Templates
Sponsor: Employee Benefits

Summary
Complete the form below and return it to your payroll clerk or to:

Employee Benefits
1114 Market Street, Suite 926
St Louis, MO 63101

The Vaccine Incentive Program ended on October 29, 2021.

Download

  1. pdf Vaccine Incentive Program Form (85.90 KB)

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