Request edit access
Sacramento COVID-19 Vaccine Clinic Invitation
The State is partnering with Color Health to offer a vaccination clinic at the Franchise Tax Board office for all state employees in the Sacramento and Yolo County region from April 29th to May 1st.

Please note that there are limited appointments available, and that you will receive a unique code and sign-up link on a first-come, first-serve basis.

VACCINE AVAILABILITY IS NOT GUARANTEED TO THOSE WHO SIGN UP ON THIS LIST. ONLY OFFICIAL STATE EMAILS WILL BE CONTACTED.

Please note that we will keep your contact information to contact you in case additional doses are available at the clinic, as well as for future clinics in Sacramento.
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
State Employee Email (email ending in ca.gov) *
Cell Phone Number *
By providing my name and contact information, I hereby consent to Color Health contacting me regarding the availability of vaccine doses. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Color.

Does this form look suspicious? Report