Vaccine and Immunity Status Self-Reporting

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Gather your records, and scan or take photos of them prior to completing this form. If you need help, visit the resource centre.

Choose which best describes you:

I am a new employee starting a new job.

For Interior Health (IHA) existing employees: Please log in manually with your IHA network credentials (IHA\username & password) or access the self-reporting tool from an IHA computer within the IHA network.

For all other health authority existing employees, please contact your local Workplace Health and Safety team regarding your vaccine and immunity status.

By clicking Next, you agree to our terms and conditions, data and cookie policies.

Personal information

First name*

Last name*

Birth date*

Phone number*

Home address*

City*

Postal code*

We use your personal information to find your employment records and to contact you.

Employment information

Please confirm your employer (this may be different from your workplace)
(e.g. medical residents: VCH | lab workers in the lower mainland: PHSA | paramedics: BCEHS)