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COVID 19 Vaccine Update


Attention Local 25 employees and staff:

As venues are beginning to reopen, employees are required to submit information in order to return to work. Please complete the form of each venue that you are employed at.

Blue Cross Arena

Please find the below link, which will take the PT Event Staff to a confidential & secure covid vaccination certification form. This will be used for internal purposes only, as we work to ensure a safe return to work and gear up for operation moving forward.  If the employee is vaccinated, they simply need to enter their name, select their department from the drop down, and enter the date of their last dose (second for a two-shot vaccine, or day of the receipt of the one dose vaccine). If this form is not completed, we will operate under the assumption that the staff member has not yet been vaccinated.  


Future information on protocols involving vaccination status will be forthcoming prior to the first event scheduled for September 29th.  


If there are any questions or concerns regarding this topic, please feel free to reach out directly to Erin Fierle, HR Manager. She is available by e-mail at or by phone at 716-855-4030.


Thank you in advance for your anticipated cooperation.

University of Rochester

  1. Log in to the COVID Vaccine Participation Form. To access the form, employees must either be on-site at the University or connected to the University’s secureVirtual Private Network, and must enter their username and password (active directory credentials used for logging into a University work computer or email). The University is using a secure and reliable system through Strong Memorial Hospital. As a result, the form will have Strong Memorial Hospital branding, even though it is being used by all University employees. If you have a problem logging in, please call University IT Helpdesk at (585) 275-2000 or email

  2. Complete the form/survey. Those who report being vaccinated will then be directed to submit proof of vaccination, which requires separately emailing to Employee Health a copy/image of your COVID-19 Vaccination Record Card. Directions for doing this are included in the COVID Vaccine Participation Form.


Those who do not report their vaccination status will be referred to the Office of the Provost (for faculty) or the Department of Human Resources (for staff) for follow-up. Please be assured that vaccination information submitted to the University will not affect an employee’s employment status.


For full information on the reporting, vaccination and testing/masking requirements for faculty and staff, see the FAQ available on the University’s COVID-19 Resource Center. Please contact ASK URHR ( with any further questions.

Thank you in advance for completing the form and helping to promote the health and safety of our University community.


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