Self-attestation Form for Registrants 18 Years of Age and Older - New York City (Korean)

Notification Icon 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 - New York City (Korean)

This 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.

The document is provided in Korean.

FAQ

Q: What is the self-attestation form for registrants 18 years of age and older?
A: A form that individuals aged 18 and older need to complete in New York City.

Q: Who is required to fill out the form?
A: All individuals aged 18 and older in New York City.

Q: What is the purpose of the form?
A: To attest that the individual is eligible to receive the COVID-19 vaccine.

Q: Is the form only available in Korean?
A: Yes, this specific form is available in Korean.

ADVERTISEMENT

Form Details:

  • Released on April 1, 2022;
  • The latest edition currently provided by the New York City Department of Health and Mental Hygiene;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;

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.

Download Self-attestation Form for Registrants 18 Years of Age and Older - New York City (Korean)

4.6 of 5 (30 votes)
  • Self-attestation Form for Registrants 18 Years of Age and Older - New York City (Korean)

    1

  • Self-attestation Form for Registrants 18 Years of Age and Older - New York City (Korean), Page 2

    2

  • Self-attestation Form for Registrants 18 Years of Age and Older - New York City (Korean), Page 1
  • Self-attestation Form for Registrants 18 Years of Age and Older - New York City (Korean), Page 2
Prev 1 2 Next
ADVERTISEMENT