Proof of Vaccination

Students and employees who are fully vaccinated can upload their vaccine documentation to 4CD Safe via the link below. A person is considered “fully” vaccinated when two weeks have passed since they completed a COVID-19 vaccine series (e.g., one dose of Johnson & Johnson, or both doses of a Moderna or Pfizer vaccine).

Students should use their InSite email address.

Employees should use their full email address.

Accepted forms of vaccine documentation:

  1. An image or screenshot of an Official California Digital COVID-19 Vaccination Record
  2. An original vaccination card showing the date(s) and types of vaccination(s) received
  3. A form from a healthcare provider that documents the date(s) and types of vaccination(s) received

Submit Proof of Vaccination Here Instructions

Please make sure name shows clearly on the image or screenshot. JPEG works best.

Vaccination Exception

Students and employees may request a medical or religious vaccine exception if one of the following situations apply:

  • Medical excuse from receiving COVID-19 vaccine due to medical conditions or precaution (requires medical documentation)
  • Disability or pregnancy (requires medical documentation)
  • Religious objection based on a person’s sincerely held beliefs, practice or observance
  • Weekly testing is required for individuals approved for exceptions


Students can access exception request forms using the following links:

Medical Exception Request Form Instructions

Religious Exception Request Form Instructions


The employee exception request forms will be available soon.

More Information

Frequently Asked Questions About the Vaccination Mandate

4CD COVID-19 Webpage

Campus Visit Safety Checklist

COVID-19 Student Vaccination Notice (September 21, 2021)