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This form is for faculty, staff, and non-student wage employees to verify full vaccination status (one dose Johnson & Johnson, two doses of Pfizer, Moderna, and other WHO authorized vaccines). Student employees, both undergraduate and graduate students, should NOT use this form to submit verification of vaccination. Student employees will be required to submit through a different system.

Employees who are fully vaccinated will be exempt from any Virginia Tech testing requirements for the 2021-2022 academic year and can exercise relaxed mask standards as articulated by the CDC and Commonwealth. Once verified, you will receive an email that confirms your exemption from university testing requirements. Please note that the exemption may be reversed or altered should conditions change.

Please send any questions about vaccine reporting to the HR Service Center at hrservicecenter@vt.edu.


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