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COVID-19 Vaccine Registration Form FIRST NAMED ATE OF BIRTH AGE/ PHONE NUMBER/ OK TO TEXT? Yes NoEMAILMIDDLE INITIALLY NAME17 OR UNDER? Yes Missed APT Yes No CVX CODEREFUSAL Yes Nook TO EMAIL?

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How to fill out vax verify - illinois

01

Go to the Vax Verify Illinois website

02

Enter your personal information such as name, date of birth, and address

03

Upload a photo of your vaccination card or enter your vaccination record information

04

Review and submit your information

Who needs vax verify - illinois?

01

Anyone in Illinois who wants to verify their vaccination status for work, school, travel, or other purposes

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What is vax verify - illinois?

Vax Verify - Illinois is a system used to verify COVID-19 vaccination status in Illinois.

Who is required to file vax verify - illinois?

All individuals residing in Illinois who have received a COVID-19 vaccine are required to file Vax Verify - Illinois.

How to fill out vax verify - illinois?

To fill out Vax Verify - Illinois, individuals need to access the online portal and enter their vaccination information.

What is the purpose of vax verify - illinois?

The purpose of Vax Verify - Illinois is to provide a comprehensive record of COVID-19 vaccinations in the state for public health and safety purposes.

What information must be reported on vax verify - illinois?

The information that must be reported on Vax Verify - Illinois includes the individual's name, date of birth, vaccination dates, and vaccine type.

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