Safe Set Onboarding | 3P America

Are you at least 18 years of age or have completed an approved 3P America "Safe Set" Parental Consent Form? *

Minors and persons under the age of 18 are required to complete a Parental Consent and Release Form prior to being "Safe Set" Approved. 3P America will not collect or store any information for persons under the age of 18 until the consent form is received and approved. If you are under the age of 18 please have a Parent or Legal Guardian complete the following form prior to continuing your "Safe Set" Approval process.

CLICK HERE TO COMPLETE PARENTAL CONSENT FORM

Yes

Basic Information

We must collect some basic information from you in order to verify your vaccination status and communicate your approval status to your employer, manager, and/or administrator.

What is your name? *

Your name is used for the sole purpose of verifying your identity.

First

Middle

Last

When were you born? *

Your age determines what age group you fall under for COVID Compliance Protocols.

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Please Provide Your Preferred Contact Email Address *

Your email address will serve as our primary point of correspondence if we need to contact you regarding your verification status.

3P America must verify your COVID-19 vaccination status as part of the "Safe Set" COVID-19 Compliance Program.
Please upload proof of vaccination status, exemption status, or other relevant documentation using the following upload tool.

If you HAVE NOT been vaccinated and HAVE recovered from a medically verifiable COVID-19 infection in the past 3 months then please upload the proof of infection such as a timestamped POSITIVE COVID-19 PCR test result.

NOTE: Vaccination exempt cast & crew may upload a drivers license or government issued ID in lieu of a vaccination card.

Vaccination Status

Please provide Proof of Vaccination, Vaccination Card, Exemption Documentation, and/or other Relevant Document *
Please upload an image of your COVID-19 Vaccination Certification, Vaccine Card, Exemption Documentation, or other relevant document here. This is mandatory. Please ensure the image is clear and legible.

NOTE: Vaccination exempt cast & crew may upload a drivers license or government issued ID in lieu of a vaccination card.

Click or drag a file to this area to upload.

Have you experienced any of the following symptoms in the past 48 hours? *

Yes
No

To the best of your knowledge, have you been in close physical contact with anyone known to have been infected with COVID-19 or exhibited symptoms of COVID-19 in the last 14 days? *

Yes
No

Are you currently awaiting the results of a pending COVID-19 test? *

Yes
No

Do you certify that you have answered the above questions truthfully and correctly to the best of your ability? *

Yes

Do you consent to 3P America, LLC using this information for the purposes of verifying your vaccination status and "Safe Set" Approved eligibility? *

Yes

It’s time to get you “Safe Set” Approved for work!

Basic Information

Vaccination Status

IMPORTANT! PLEASE BE ADVISED: