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COVID-19 Vaccine

The COVID-19 vaccines are safe and effective, and are an important tool for ending the global pandemic. Vaccines protect you and the people around you, reducing the spread of COVID-19. Learn more at Learn more at Chicago.gov/COVIDVax.

Delegate Agency Documents

The following documents are needed to complete the 2021 delegate agency contract process. Please contact the program manager or liaison with questions.

Documents for Corporate-funded contracts only. DPD: LIRI (Local Industrial Retention Initiative)

2021 Checklist
Budget Form
Work Program Form
Corporate Grant Agreement Amendment
Data Universal Numbering System

Direct Deposit Form
EFT-Bank Depository Form
Signature Authorization Form
EDS - Quick Start Guide
Insurance Certifcate

Supporting Information Facts

COVID-19 Vaccine

Chicago

Planning and Development

Planning and Development.

Delegate Agency Documents

Supporting Information Facts

Department:

People We Serve:

Programs & Initiatives:

Contact DPD

Quick Links

Priority Initiatives

COVID-19 Vaccine

Contact us

Planning and Development.

Delegate Agency Documents

Supporting Information Facts

Department:

People We Serve:

Programs & Initiatives:

Contact DPD

Quick Links

Priority Initiatives