Follow the steps to complete your immunization form online.

1. Click the ‘Get Form’ button to access the Seafarers International Union Immunization Form and open it in your preferred editor.
2. Begin by filling out the 'Contact Information' section. Provide your last name, first name, middle initial, and Dawg Tag. Next, include your home address, city, state, ZIP code, and phone numbers.
3. Enter your date of birth in mm/dd/yyyy format and select your citizenship status. Specify if you are a U.S. citizen or another nationality. Fill in your email address and indicate the first semester you attended SIU Carbondale.
4. If you are an international student, remember to schedule your required Tuberculosis screening upon your arrival at the SIU Carbondale campus.
5. The next section must be completed by a licensed health care provider, who will certify the required immunizations and any necessary documentation.
6. Fill out the required immunizations checklist according to Illinois law, noting the specific dates for each vaccine provided, along with any attached lab reports as proof of immunity.
7. Proceed to the section for recommended immunizations and document any additional vaccines received along with their corresponding dates.
8. Ensure that the licensed health care provider completes their verification, including their name, signature, address, and phone number.
9. Once all sections are filled out, review the document for accuracy. You can then save changes, download, print, or share the form as needed.

Complete your immunization documentation online today.