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Get the free Request for Travel Immunizations for University Business - ehs unc

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Form for university employees to request travel immunizations for university business, including providing personal and trip information, health history, allergies, and medications.
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How to fill out request for travel immunizations

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How to fill out Request for Travel Immunizations for University Business

01
Obtain the Request for Travel Immunizations form from your university's health services or website.
02
Fill out your personal information, including your name, student or employee ID, and contact information.
03
Indicate the purpose of travel and destination(s) for the university business trip.
04
List any previous immunizations you have received related to travel.
05
Specify the desired immunizations you are requesting based on recommendations for your travel destination.
06
Include any medical history information relevant to your immunization needs.
07
Review the form for accuracy and completeness.
08
Submit the form to your university health services or the designated department for review.

Who needs Request for Travel Immunizations for University Business?

01
Any student or employee planning to travel abroad for university-related business who may require vaccinations based on their travel itinerary.
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Upload Proof of Immunizations After entering your immunization information in the sections above, you must upload a scanned copy or photo of your proof of immunization. Acceptable forms of proof include: A copy of the Student Immunization History Form (PDF 286 KB) that has been signed and stamped by your physician.
Exemption is permitted with proof of immunity, non-medical exemption or birth before 1957. First-time enrollees at California State University and University of California must show proof of hepatitis B vaccine. All institutions with on-campus housing must provide information about meningococcal ACWY and B.
Proof of Immunizations (Measles, Mumps, and Rubella (MMR) and Meningitis) Meningococcal Meningitis Vaccination Response Form (if applicable) Student Health History Form Treatment of a Minor Form (if under 18 years of age) Wellbeing Questionnaire (New York undergrads only) j For instructions on how to complete each item
Summary State Vaccine Requirements for College Entry StateState Vaccine Requirements for CollegeRequired Vaccines New Mexico No N/A New York Yes MMR North Carolina Yes Hepatitis B MMR Polio Tdap Varicella North Dakota Yes MMR Meningococcal – only for those age 21 and younger47 more rows • Feb 3, 2025
All students enrolled for at least six (6) credits or more must provide the University with certification from a health care provider or other acceptable evidence that they have received immunization to meningococcal meningitis A,C,W,Y on or after their 16th birthday and within the prior 5 years.
MinuteClinic® can provide these travel-related health care services to help you prepare for your trip, including: Rapid PCR or antigen COVID-19 testing for travel. 'Fit to fly' or travel clearance letter if you tested positive for COVID-19 in the last 90 days. Immunizations.
Vaccines required for day care, pre-K, and school attendance Diphtheria and Tetanus toxoid-containing vaccine and Pertussis vaccine (DTaP or Tdap) Hepatitis B vaccine. Measles, Mumps and Rubella vaccine (MMR) Polio vaccine. Varicella (Chickenpox) vaccine.
Vaccine Recommendations for Travelers Measles-mumps-rubella (MMR) Diphtheria-tetanus-pertussis (DTap or Tdap) Varicella (chickenpox) Polio. COVID-19. Flu. Hepatitis A.

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The Request for Travel Immunizations for University Business is a formal process through which university employees can seek necessary immunizations that are required for international travel related to university business activities.
University employees who are traveling internationally for business purposes are required to file the Request for Travel Immunizations.
To fill out the Request for Travel Immunizations, employees must complete the designated form with personal information, destination details, and any previous immunization records, ensuring all fields are accurately filled before submission.
The purpose of the Request for Travel Immunizations is to ensure that university employees are protected against vaccine-preventable diseases while conducting business internationally and to comply with health regulations.
The information that must be reported includes the employee's name, department, destination of travel, dates of travel, and details of any required immunizations as determined by the specific travel destination.
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