This form is to be used for current & active university employees only.

VCU Health System employees do not need to fill out this form.

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First Name Last Name


This is usually the part of your VCU email before


V Number

Please include the V and all zeros.

Example: V00123456

You can find your V number here:

Phone Number


COVID-19 can have serious, life-threatening complications, and there is no way to know how COVID-19 will affect you. If you contract COVID-19, you can spread the disease to friends, family, and others around you.

Millions of people in the United States have received COVID-19 vaccines since they were authorized for emergency use by the FDA. These vaccines have undergone and will continue to undergo the most intensive safety monitoring in U.S. history, including both established and new safety monitoring systems and practices.

Based on what we know about vaccines for other diseases and early data from clinical trials, experts believe that getting a COVID-19 vaccine also helps keep you from getting seriously ill, even if you do contract COVID-19.

Getting vaccinated may also protect people around you, particularly people at increased risk for severe illness from COVID-19.


Thank you for uploading your COVID19 CDC Vaccination Card. Employee Health may reach out to you, if they have any questions about the submitted documentation.

If you have any issues regarding uploading your documentation, please contact the IT Help Desk at or (804) 828-2227.

Should vaccine become available to VCU, you will be contacted  with instructions for signing up for a COVID19 Vaccine to be administered at VCU. 

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