Need to build 3 pages:
form1.html, menu.html, and a css file for the
<style></style>.
where menu.html is the start page with the option (using
buttons) to navigate the user to either form1 or form2.
-menu.html:
is a simple page with a heading, boxed instructions paragraph ,
and 2 buttons each would send the user to the appropriate form.html
page.
-form1.html
Replicate the form on page 3 (Personal information) of the PDF
document. You must design the form so it can closely resemble the
PDF form, and ensure that mandatory required fields are checked.
When the user submits simply redirect to menu.html.
This is for the menu:
This is the form 1.
Please make sure every blank can be fill in, and boxes can
be check. Thank you so much !!!
Government Gouvernement of Canada du Canada Protected B (when completed) COVID-19 Vaccination Attestation Form Report your vaccination status, as defined by the Policy on COVID-19 Vaccination for the Core Public Administration Including the Royal Canadian Mounted Police. • This form is only to be used when an employee does not have access to the GC-VATS application or requires this attestation form for duty to accommodate. • Situations included: Deployment from an organization outside the CPA served by Phoenix, Interchange participants on assignment outside of the CPA, Dual remuneration if the first position is outside the CPA and any employees with Phoenix related issues. • Students, Interchange participants into the CPA, casual workers, employees on secondment and new employees should not complete this attestation form but should verify their access within the TAP Portal or follow the manual process established by TBS. Please contact your HR Department for details. • External candidates should use this attestation, however, once they are able to register in the TAP Portal (or follow the manual process) and be claimed by their manager, they should attest in GC-VATS. Privacy statement Review and Acknowledge Privacy Statement The Treasury Board (TB), as the employer for the Core Public Administration, has a duty to ensure the health and safety of employees in the workplace. Vaccination against COVID-19 will be a requirement for all federal public servants as part of the approach to protect federal public servants and the community from COVID-19 and ensuring safe workplaces. Vaccination will add a layer of protection that will work with other public health measures to combat the spread of the virus. The purpose for collection and use of this information is to fulfill the responsibility of your employer to ensure the health and safety of employees. This is a requirement under section 124, Part II of the Canada Labour Code and under the Policy on COVID-19 Vaccination for the Core Public Administration Including the Royal Canadian Mounted Police. Personal information is collected pursuant to section 7 and 11.1 of the Financial Administration Act and in accordance with the Privacy Act. The personal information collected will be used to confirm your vaccination status and to consider requests for accommodation for those unable to be vaccinated. The personal information will be used, in conjunction with additional COVID-19 preventative measures, including rapid testing, to determine if you will be granted on-site access to the workplace and to determine whether you may report to work in person or remotely. Your personal information will also be used by your organization and TBS to monitor and report on the overall impact of COVID-19 and compliance with the vaccination program both within the organization and for the Core Public Administration, as described in standard personal information bank PSE 907, Occupational Health and Safety. Personal information may also be used to facilitate personnel administration in the employing organization and to ensure continuity and accuracy when an employee is transferred to another organization as described in standard personal information bank PSE 901, Employee Personnel Record. The centralized collection, use, and disclosure of your personal information is described in TBS central personal information bank (under development). Canada Protected B (when completed) Refusal to provide the requested information may result in employees being refused on-site access to the workplace, whether you may report to work in person or remotely and other administrative consequences such as employees being placed on leave without pay, until they are fully compliant. Under the Privacy Act, you have the right to access your personal information and request corrections to your information. Should you wish to exercise your rights under the Privacy Act, or have any questions about this statement, please contact your organization's ATIP Coordinator. You have the right to file a complaint with the Office of the Privacy Commissioner about the handling of your personal information. I acknowledge the above-noted privacy statement.
Protected B (when completed) Personal information Employee Manager Name: PRI/HRMIS number for RCMP/ DND service number for military: Date of birth: Organization: I attest that my COVID-19 vaccination status is: (required) As defined by the Policy on COVID-19 Vaccination for the Core Public Administration Including the Royal Canadian Mounted Police. Fully vaccinated Partially vaccinated (in addition to your attestation, you must also provide your manager with the date of your first vaccination) Unvaccinated Unvaccinated because I am requesting accommodation I am requesting accommodation This section is required if you have indicated that you are unvaccinated because you require accommodation. Due to a medical contraindication (or) Under a prohibited ground of discrimination under s.3(1) of the Canadian Human Rights Act Indicate Canadian Human Rights Act ground This section is required if you have indicated that you are unvaccinated under a prohibited ground of discrimination under s.3(1) of the Canadian Human Rights Act. Religion (or) Another prohibited ground under s.3(1) of the Canadian Human Rights Act By submitting this form, I certify that the statements I have made and the information I have disclosed in this form are true, complete, correct and in accordance with the Values and Ethics Code for the Public Sector. I understand that if my vaccination status changes, I must complete a new vaccination status attestation. I acknowledge that the information I submit in this form is subject to verification and audit and I specifically acknowledge that my manager reserves the right, at the manager's sole discretion, to request proof of vaccination. Employee signature: Date: COVID-19 Vaccination Attestation Form - February 2022 Page 3
Need to build 3 pages: form1.html, menu.html, and a css file for the . where menu.html is the start page
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