COVID Vaccine Forms

Last Updated: February 2022

This page provides forms relating solely to requests for legally required accommodations in connection with Citi's COVID-19 vaccination requirement for U.S. colleagues. Current employees: Please contact your manager or Human Resources if you have any questions.

Applicants: You will be prompted to provide vaccination information as part of your candidacy throughout the recruitment process. Should you need to submit for an accommodation, please follow the instructions on the associated form and leverage our Candidate FAQs should you have any questions.

Florida Applicants Only: Please use the appropriate forms below and you are seeking an exemption from Citi's COVID-19 vaccination requirement as allowed by Florida’s law. Please return the fully completed form to Citi by emailing to