COVID Concerns: Verification Portal

Upload an image or documentation for proof of vaccination, a negative COVID test, or a Vaccination Declination Form for Health Care Workers.

IMPORTANT: Any misrepresentation about vaccination status violates the seminary’s Community Standards and may break federal, state and local laws. Lying about vaccination is dangerous and can put other employees and students at risk of serious illness and even death. Misrepresentations about vaccinated status is material and will result in investigation and remedial action.


Please use this portal to upload an image of documentation for proof of vaccination, a weekly (or within 72 hours of visit), negative COVID test, or Vaccine Declination Form for Health Care Workers.

Make sure you upload images that cover all pertinent information. A few quick checks:

  • Did you upload images of all pages and sides that have information on them?
  • Is your name visible and readable?
  • Is the date visible and readable?

You will be asked for your name, role at Fuller, the type of record you are uploading, and to upload images of the records you are providing.

For your role at Fuller, please select which best describes you. If more than one applies, simply select the first one:

  • FPFS Worker – you work in the Fuller Psychological and Family Services clinic in some capacity
  • Employee – you are a staff or faculty member (not in FPFS)
  • Student – you have been enrolled as a student
  • Other

For the type of record, you can use this portal to upload proof of one of the following:

  • Vaccination – This includes a photo or screen capture of the following options:
    • COVID-19 Vaccination Record Card (issued by the Department of Health and Human Services Centers for Disease Control & Prevention or WHO Yellow Card 1) which includes name of person vaccinated, type of vaccine provided and date doses administered); OR 
    • A photo of a vaccination card as a separate document; OR 
    • A photo of the person’s vaccine card stored on a phone or electronic device; OR
    • Documentation of vaccination from a healthcare provider; OR 
    • Digital record that includes a QR code that when scanned by a SMART Health Card reader displays to the reader client name, date of birth, vaccine dates and vaccine type; OR
    • Documentation of vaccination from other contracted employers who follow these vaccination records guidelines and standards. 
  • Negative Test – The following are acceptable as proof of a negative COVID-19 test result:
    • A photo of a printed document from the test provider or laboratory, OR
    • A screen capture of an electronic test result displayed on a phone or other device from the test provider or laboratory.
      • The information should include person’s name, type of test performed, date test was performed, and negative test result.
  • Vaccine Declination Form (only applicable for those covered by the Health Care Workers Vaccination Policy) – The following may be submitted as part of your request for a medical (qualifying medical reason or disability) or religious (sincerely held religious belief, practice, or observance) exemption:
    • A completed Vaccine Declination Form for Health Care Workers, AND 
    • Any supplemental documentation that supports a claim of exemption from vaccination requirements.

The Vaccine Declination Form for Health Care Workers can be found at

If you have any questions, concerns, or problems, please email [email protected]