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 Italian.
Q: What is the Self-attestation Form for Registrants?
A: The Self-attestation Form for Registrants is a document that must be filled out by individuals 18 years of age and older in New York City.
Q: Who should fill out the Self-attestation Form?
A: Individuals 18 years of age and older in New York City should fill out the Self-attestation Form.
Q: What is the purpose of the Self-attestation Form?
A: The purpose of the Self-attestation Form is to confirm that the registrant is eligible for vaccination based on their age.
Q: Is the Self-attestation Form only available in Italian?
A: Yes, the document mentioned is specifically for New York City in Italian. Other versions may be available for different languages.
Q: When should the Self-attestation Form be filled out?
A: The Self-attestation Form should be filled out before going to a vaccination site in New York City.
Q: Are there any eligibility requirements for filling out the Self-attestation Form?
A: Yes, the registrant must be 18 years of age or older to fill out the Self-attestation Form.
Q: What happens after filling out the Self-attestation Form?
A: After filling out the Self-attestation Form, the registrant can go to a vaccination site in New York City to receive the COVID-19 vaccine.
Q: Is the Self-attestation Form required for all vaccination appointments?
A: Yes, the Self-attestation Form is required for all vaccination appointments in New York City for individuals 18 years and older.
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.