This version of the form is not currently in use and is provided for reference only. Download this version of the document for the current year.
Self-attestation Form for Registrants 18 Years of Age and Older is a legal document that was released by the New York City Department of Health and Mental Hygiene - a government authority operating within New York City.
Q: What is the self-attestation form for registrants 18 years of age and older?
A: It is a form used in New York City for individuals to declare their eligibility for a vaccine.
Q: Who is required to fill out the self-attestation form?
A: Registrants 18 years of age and older who are eligible for a vaccine.
Q: Why is the self-attestation form necessary?
A: It is used to verify the eligibility of individuals for a vaccine.
Q: What information is required on the self-attestation form?
A: Personal information such as name, date of birth, and eligibility criteria.
Q: Is the self-attestation form for New York City residents only?
A: Yes, it is specifically for residents of New York City.
Q: Is the self-attestation form mandatory?
A: Yes, it is mandatory for individuals 18 years of age and older.
Q: What happens after submitting the self-attestation form?
A: Once the form is submitted, individuals will be contacted to schedule a vaccination appointment.
Q: Can I schedule a vaccine appointment without the self-attestation form?
A: No, the form is required to schedule a vaccine appointment in New York City.
Form Details:
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the New York City Department of Health and Mental Hygiene.