Self-declaration form for coronavirus vaccination
Form
|Updated
Here is a self-declaration form that can be used for coronavirus vaccination. This is a voluntary tool for structuring the collection of necessary information in connection with coronavirus vaccination.
Self-declaration form before vaccination
This can be filled in by the person to be vaccinated, brought on the vaccination day where the vaccinator can use it as documentation until electronic registration is possible.
08.04.2022: The form has been updated.
Information about the various diseases and conditions that were on the back page of the form can be found here:
