Employee COVID-19 Vaccination Declaration/Testing and Quarantine

Administrative Regulation No. 151 pertaining to City Policy on Employee COVID-19 Vaccination and Testing. Effective: August 18, 2021. Revised: March 15, 2022. Guidance Updated: August 5, 2024

Publication Date: 08/05/2024
Document Type: Laws Bills and Policies
Sponsor: Department of Personnel

Summary
To be in compliance with AR 151, City Employees are asked to:
1. Complete the Vaccination Declaration form online at https://www.stlouis-mo.gov/vaccine-declaration/ or use the print version included below
2. Download and complete the HIPAA-compliant waiver for release of vaccination status.
3. Return the waiver to the payroll clerk or to the Department of Health by October 15th, 2021.

Download

  1. pdf AR 151: Employee COVID-19 Vaccination Declaration/Testing (Revised 3/14/2022) (164.35 KB)
  2. pdf AR 151 - Signed (Revised 3/14/2022) (165.71 KB)
  3. pdf AR 151 Certification for New Employees (106.29 KB)
  4. pdf Vaccination Declaration form - Print Version (445.41 KB)
  5. pdf Quarantine Protocol (revised 8/5/2024) (78.53 KB)

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