Employee COVID-19 Vaccination Declaration/Testing

Administrative Regulation No. 151 pertaining to City Policy on Employee COVID-19 Vaccination and Testing. Effective: August 18, 2021. Revised: March 15, 2022. Guidance Updated: August 25, 2022

Publication Date: 03/15/2022
Document Type: Laws Bills and Policies
Sponsor: Department of Personnel

Summary
To be in compliance with AR 151, City Employees are asked to:
1. Complete the Vaccination Declaration form online at https://www.stlouis-mo.gov/vaccine-declaration/ or use the print version included below
2. Download and complete the HIPAA-compliant waiver for release of vaccination status.
3. Return the waiver to the payroll clerk or to the Department of Health by October 15th, 2021.

Need Help Viewing?

You need a program that can open Adobe PDF files. A free option:

Was this page helpful?      



Comments are helpful!
500 character limit

Feedback is anonymous.

1 comment from someone like you has helped us improve this page. Keep the feedback coming!