Get Va 10-263 2021-2025

The VA 10-263 form is essential for individuals within VHA to report their COVID-19 vaccination status or request exemptions. This guide will assist you in navigating the process of filling out the form online effectively.

Follow the steps to complete the VA 10-263 form online.

1. Click 'Get Form' button to access the VA 10-263 form and open it in the editing interface.
2. In the first section, identify your status as an employee, volunteer, or other role. Select the appropriate option by checking the corresponding box.
3. If you select 'Other,' clearly indicate your role such as trainee, resident, intern, fee basis, or researcher in the provided space.
4. Next, check one statement below that applies to your vaccination status. Ensure that any required documentation is attached if you received the full COVID-19 vaccine series.
5. If applicable, provide details regarding medical exemptions or contraindications as recognized by the CDC, and ensure to include your physician's printed name, address, and signature.
6. Fill in the required dates in the format MM/DD/YYYY, including the dates for your physician and supervisor signatures.
7. After completing the form, review all entered information for accuracy and completeness.
8. Once you have verified all information, proceed to save changes, download a copy, print the form, or share it as necessary.

Start completing your VA 10-263 document online today!