CSAC COVID-19 Pre-Verification Portal

All participants of the 2022 Legislative Conference are required to provide a record of their complete COVID-19 vaccination or a negative COVID-19 test result (completed within 72 hours prior to attending). Per the CDC, participants must be two weeks past the date of their final vaccination to be considered fully vaccinated. Participants can submit proof of their complete COVID-19 vaccination or negative COVID-19 test result via this CSAC Pre-Verification Vaccine Portal or in person at the Legislative Conference during initial registration. CSAC strongly recommends that participants use the CSAC COVID-19 Pre-Verification Portal to help expedite the process during registration.

Acceptable proofs include:

CDC vaccine card OR
CA digital COVID-19 vaccine record (QR code) OR
Negative COVID-19 test (antigen, PCR, or rapid tests okay)

This Portal will be open until Monday, April 18 at 5:00 pm. Please allow up to 24-48 hours for approval of your verification.

Every participant- attendees, speakers, exhibitors, and staff- plays a critical role in mitigating the risk of COVID-19. CSAC appreciates your assistance in collectively contributing to a safe and healthy environment by adhering to the health and safety measures at this Conference. When we all collectively respect the significance of this contribution, we advocate for the safety and well-being of our members and fellow conference participants.

For additional information, visit the Annual Meeting’s Health and Safety Information Page

Storage Disclosure: All vaccine information (cards, digital vaccine records, and proofs of negative COVID-19 test) will be held on file for 30 days post conference for tracing purposes. After the 30 days, all files will be purged and deleted.

First Name First name should match record of proof.

Last Name Last name should match record of proof.

Email Address Email notifications will be sent to this address.

Please indicate the type of Verification being provided:

Vaccination Record or QR Code

Negative Test Results

Upload COVID-19 Vaccination Record Card or QR Code Name and Date of Birth must be visible

Upload Negative COVID-19 Test Results JPG, PNG, or PDF

Please ensure the submitted documents include the registered person's full name match the first and last name entered previously in this form.

If there are any differences with the name listed on the document please provide an explanation in the provided field when prompted.

The Name and Date of Birth listed on the COVID-19 Vaccination Record or QR Code is an exact match to the registered person's listed information.

Yes, the names and date of birth are an exact match.

No, they are not an exact match.

If first or last name on the uploaded COVID-19 Vaccination Card or QR Code file is not an exact match to the registered person's first and last name please provide explanation below:

The Name and Date of Birth listed on The Negative COVID-19 Test Result is an exact match to the registered person's listed information.

Yes, the names and date of birth are an exact match.

No, they are not an exact match.

If first or last name on the uploaded Negative COVID-19 Test Results file is not an exact match to the registered person's first and last name please provide explanation below:

I hereby agree to follow CSAC's Health and Satefy Measures for the 2022 Annual Meeting.

Signature

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CSAC COVID-19 Pre-Verification Portal