The purpose of The Private Employer Program is to provide support to employers who have a minimum of 30 employees preregistered to receive Influenza and/or XBB.1.5 vaccine. For more information, please click on the links below:

• Private Employer Program Guidance Document
• Private Employer Program Policy Document
• Private Employer Program Application
• Consent Form – COVID-19
• Consent Form – Influenza
• COVID-19 and Influenza Vaccine Storage and Handling Factsheet 
• Influenza Fact Sheet
• COVID-19 and Influenza Vaccine Order Form
• Documentation Cover Sheet
• COVID-19 Vaccine Information Sheet
• Vaccine Administration Confirmation Form
• COVID-19 and Influenza Supplies Order Form
• COVID-19 Aftercare and Record of Immunization Form