Employee COVID-19 Vaccine Incentive Program

Thank you for participating in the City of St. Louis Employee COVID-19 Vaccine Incentive Program! Getting vaccinated against COVID-19 is the best way to make sure you and your loved ones don’t end up in the ICU. We can see the end of this crisis on the horizon, but only if enough people continue to protect themselves by vaccinating.

City of St. Louis employees who complete vaccination (x1 Johnson & Johnson, x2 Pfizer or Moderna) after July 27, 2021 can receive $100 in gift cards from the following: Target, Home Depot or Schnucks. Cards will be mailed to the employee’s address of record.

Paid Time Off will be available to those who get vaccinated during work hours.

This program is available only to City Civil Service employees who have not been fully vaccinated as of July 27, 2021.  The Vaccine Incentive Program end date was October 29, 2021.

To receive your $100 gift card, complete the form below and return it to your payroll clerk or hand-deliver to

Employee Benefits
1114 Market Street, Suite 926
St Louis, MO 63101

If you return the form in-person at Employee Benefits, you will receive the card in-person after the vaccination status has been verified with the State of Missouri. Due to HIPAA regulations, this form may ONLY be hand-delivered by the employee.

The form attached is a medical record release authorization for the purpose of voluntarily disclosing your vaccination status to the City of St. Louis.

Instructions for submission of Authorization attached are as follows:

• Employees must complete all fields accurately and legibly on the form.
• The employee is the “patient” for purposes of disclosure of vaccine status on the HIPAA-compliant authorization form.
• The employee can submit the form to their agency’s payroll clerk or Employee Benefits Section who will then mail employees their gift card.

Note: This form contains personal information and cannot be accepted via scanned document.

If you are untruthful about your vaccination status, you may face disciplinary action up to and including dismissal.