Community Event Request Form: DOH Care-A-Van
The Washington State Department of Health (DOH) strives to keep our communities healthy. If your organization is planning a community event and would like DOH to offer COVID-19 vaccines, please complete the form below.

Please submit this form at least 30 days prior to your event. All services are based on availability. We will consider events occurring in less than 30 days on a case-by-case basis.

If you need assistance filling out this form, or for this form to be provided in an alternative format, please contact