COVID Vaccine Provider Attestation Form

Office of the Commissioner

This government document is issued by Office of the Commissioner for use in Alaska

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https://www.google.com/url?client=internal-element-cse&cx=c0fe050eb6ce15f1d&q=http://dhss.alaska.gov/dph/Epi/id/SiteAssets/Pages/HumanCoV/COVIDvaccineAttestationEligibility.pdf&sa=U&ved=2ahUKEwjd-fSRorfyAhVZQvEDHalRAQg4PBAWMAd6BAgFEAI&usg=AOvVaw1H4KvM4sV3EYVcCU3O-zGo

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