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.
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.
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.
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.