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COVID-19 Portal
MTA COVID-19 Portal
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Vaccinated Employee - Upload Documents
Vaccinated Employee - Upload Documents
BSC ID
Date of birth (M/D/YYYY)
Preferred Method of Contact
Text /Phone
Email
Email
Mobile Phone Number
Vaccine Information
Vaccine
J&J
Moderna
Pfizer
Dose
1st
2nd
1st & 2nd
Booster Shot
1st Dose of Vaccination Date (M/D/YYYY)
2nd Dose of Vaccination Date (M/D/YYYY)
Booster Dose
1st
2nd
Booster Shot Date
Do you have schedule for 2nd Dose of vaccination?
Yes
No
If Yes, Scheduled 2nd Dose Date (M/D/YYYY)
Did you receive a vaccination scheduled through the MTA?
Yes
No
Vaccination Location
130 Livingston St
2 Broadway
Grand Central Terminal
Javits Center
JCC
Van1
Please Upload COVID-19 Vaccination Record Card
Entered By
Admin
Employee
Mobile Health
Aetna/Other Source
Attach a file
Generate a new image
Play the audio code
Enter the code from the image