Which Corporations/ Businesses are Mandating Medical Treatments?

Fields marked with an <span class="ninja-forms-req-symbol">*</span> are required

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We are collecting information about the type, size, and location of corporations/businesses that are mandating vaccines.

These reports will be kept completely anonymous. Contact information will only be used by the OKHPR team to gather more information if needed. Stories will be shared anonymously via social media or on educational materials.

Please only report if you have a written statement from the corporate office.

First Name *

Last Name *

Email *

Phone *

Name of business *

Address of business *

City of business *

State of business *

Address of business headquarters

Does the business have more than 100 employees? *

Is the business mandating the vaccine because of President Biden's Executive Order? *

Is the business offering exemptions? If so, what kind? *

If you applied for an exemption and were denied, please detail that here.

Are you aware of other employees, besides yourself, who will not comply with a mandate *

Is this place of business requiring spouses to be vaccinated too? *

Is this place of business fining you extra for health insurance? *

Is this place of business charging you for testing? *

Please detail the requirement here

Please verify your report with written documentation *

Check here to verify that OKHPR can anonymously share your story on social media or other education materials for the purpose of political action or education.. *