Get Dd 3175 2021-2026

The DD 3175 form is essential for DoD civilian employees to certify their COVID-19 vaccination status. Completing this form online helps streamline the process, ensuring compliance with vaccination requirements and enhancing workplace safety.

Follow the steps to complete the DD 3175 form online.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. In Section A, enter your DoD ID number in the designated field labeled 'CIVILIAN EMPLOYEE DoD ID NUMBER.' This is a unique identifier for DoD employees.
3. Provide your full name in the format 'Last, First, MI' in the field labeled 'CIVILIAN EMPLOYEE NAME.'
4. In the section labeled 'COVID-19 VACCINATION STATUS,' check all applicable boxes that reflect your vaccination status, including options for fully vaccinated individuals, those with one dose, and exemptions.
5. If you are not fully vaccinated, fill out Section 4 with details of your vaccination dates and vaccine manufacturer(s) in the respective fields.
6. Certify your provided information in Section 5 by reading the certification statement and ensuring it's accurate before signing in the 'CIVILIAN EMPLOYEE SIGNATURE' field.
7. Enter the date of your signature in the 'DATE' field below your signature.
8. If you are a supervisor or authorized HR official, complete Section B by reviewing proof of vaccination and checking the appropriate status of vaccination or exemption requests.
9. Sign and date Section B once you have reviewed the necessary information.
10. Once all sections are completed, save any changes made to the form. You can then download, print, or share the completed form as needed.

Complete your DD 3175 form online today to ensure compliance with vaccination requirements.