NCIG Business Rules | Medical

Health.-.Covid Vaccination Status Declaration Form

• Must be NCIG's COVID-19 Vaccination Declaration or Exemption Request form

• Applicants name to be displayed on uploaded evidence and to match applicants registered name (however shortened versions of names such as 'Chris' for 'Christopher' is accepted)

• Date of Birth (DOB) for applicant to be listed and match applicants registered DOB

• Either the vaccination section or the exemption section to be filled out

  • If the vaccination section is filled out: At least, Date of Second Vaccination to be completed

  • If the exemption section is filled out: Date of Exemption to be completed

• Verification Officer Declaration section to be completed in full by a company representative

• Electronic signatures such as a signature signed with a stylus, or a timestamped digital signature, or a signature in a "fancy font" can be accepted

• Issue Date = Date of latest vaccination.

If exemption supplied, issue date to be document was signed.

• Expiry Date = Date of exemption expiry (if listed), otherwise none