Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1696586109444.pdf (Vanuatu)
CLEAN, CARING & CHECKED RESOURCES DEPARTMENT OF TOURISM VANUATU GOVERNMENT NAME OF TOURISM BUSINESS By completing this form, we confirm to the Department of Tourism that all: Confirmation of Full Vaccination ➢ Owners working in the business on-site, ➢ Managers, employees and ➢ Direct contact contractors* who are eligible to receive a vaccine against COVID-19 are now fully vaccinated.
I/We further confirm that any new managers, staff and direct contact contractors will also be fully vaccinated as a condition of their employment or terms of service.

I/We understand breaching these terms will result in consequences for our business that may include, but are not limited to: • Revoking of Clean, Caring & Checked certification and tourism permit • Possible fines should the Vanuatu Government have declared a Public Health Emergency.
*A direct contact contractor is anyone your business contracts who will have direct or face-to-face contact with tourists.

Such persons could include contracted managers, massage therapists, tour guides, transfer operators, or other service providers.
Date Signed: Signed by (name): Position in Company: Email or Phone: Name of owner, manager, staff or contractor (as shown on Vaccination Card or Certificate) Date of Birth Date of Commencement of employment or contract COVAX ID (as shown on vaccination card or certificate) Date of First Vaccination Date of Second Vaccination CLEAN, CARING & CHECKED RESOURCES DEPARTMENT OF TOURISM VANUATU GOVERNMENT Name of Tourism Business: Date: Name of staff or contractor (as shown on Vaccination Card or Certificate) Date of Birth COVAX ID (as shown on vaccination card or certificate) Date of Commencement Start of employment or contract