AFLDS Firefighter Form
AFLDS is looking for Firefighters whose job wants to force them to take the Covid-19 vaccine. Please fill out this form (there are no “right” answers so please be accurate!!) if you are even THINKING about legal action! Even if you have chosen to be vaccinated, if you don’t want to live in a country where your employer can do such things, please fill out the form. If your information matches our criteria, our legal team will get in touch with you. You can share this link with other Firefighters: https://americasfrontlinedoctors.org/firefighters
Please enter a valid phone number.
Select State of your Job
County of your Job
City of your Job
ZIP of your Job
Name of Organization
Example: Chicago Fire Department
Are you represented by a union?
Has your union made a policy yet on this subject?
Have you already submitted an exemption request to your job?
Have you ever had Covid-19?
Evidence of prior Covid-19?
Have you or a family member ever had a bad reaction to a vaccine in the past?
Do you have a health issue which you feel puts you at risk for taking the Covid vaccine?
I’ve taken the Covid Vaccine and am experiencing adverse reactions or events?
You understand that you are submitting personal information related to your health. Your data will NEVER be sold, shared or rented.
Should be Empty: