Proof of Vaccination

Question Title

* 1. Enter your information: (Name must match Vaccine Card)

First Name

Last Name

Company

Question Title

* 2. Upload an image or screenshot of your Vaccine Card:

Question Title

* 3. UDI Member Agreement:

I consent to sharing my information with UDI.

I certify that the information is true and correct.

I agree to the Terms & Conditions.

TERMS & CONDITIONS
By completing this form, you authorize UDI to record your proof of vaccination. If you would like to withdraw your consent at a later date, email communications@udi.org to make the request. Once the proof of vaccination requirement is lifted, all records will be handled as per the Provincial Health Officer's order.