ACHA requires workers to complete the following form in relation to their COVID-19 vaccination status so that we consistently capture all the information we need for compliance and reporting purposes. Implementation of COVID-19 Vaccination Policies requires an understanding of the vaccination status of individuals and in many jurisdictions around Australia collection of your personal information for this purpose is now required by law (i.e. Government issued Public Health Orders or Directives).

Information you provide in this form is confidential will not be used for any other purpose other than that stated in our COVID-19 Privacy Statement, unless otherwise directed by legislation.