Rewards will be awarded for the first 100,000 Minnesotans who submit their first shot information and make a request from June 1 through June 30. Reward requests must be submitted to the Minnesota Department of Health by 11:59 p.m. on June 30, 2021. Vaccine information will be subject to verification by the Department of Health.
Minnesotans can also sign up to receive a reward by calling (833) 431-2053 Monday through Friday 9 a.m. - 7 p.m. and Saturday 10 a.m. - 6 p.m.
In order to be eligible, Minnesotans 12+ must receive their first dose between May 27, 2021 and June 30, 2021. Reward requests must be submitted to the Minnesota Department of Health by 11:59 p.m. June 30, 2021. Reward requests will be fulfilled on a rolling basis throughout the month of June 2020 and no later than July 16, 2021.
The Minnesota Department of Health is collecting information from you so that you can request a reward through the ‘Your Shot to Summer’ COVID-19 vaccine reward program. To request a reward, you must provide the personal information requested on the form, including information about whether and when you received the first dose of a COVID-19 vaccine. Your personal information are private data under the Minnesota Government Data Practices Act. We collect this information to verify your eligibility to receive a reward through this program and to send you the reward you requested, as supplies allow. Your private data will be accessible to Minnesota Department of Health employees and contractors who have a reason to know and other persons or entities as authorized by law. If you choose a reward that is being sent by another organization, your name and mailing address or email address will be shared with that organization so that they can send you the reward or the information you need to access or redeem the reward. For more information about who will receive your contact information and send you the reward you asked for, please see the list of rewards and fulfillment descriptions above.
YOU MUST BE THE AGE OF 18 OR OLDER AT THE TIME OF VACCINATION TO FILL OUT THIS FORM.
If you are between the age of 12 and 17, please have your parent or guardian fill out this form. A person acting as a parent or guardian may fill out the form for an unaccompanied youth.
TO ENSURE RECEIPT OF YOUR REWARD, PLEASE VERIFY YOUR CONTACT INFORMATION AND MAILING ADDRESS ARE CORRECT BEFORE SUBMITTING THIS FORM.
If you do not have a permanent mailing address, you may use any address where you can receive mail. Please note that Visa cards cannot be sent to a P.O. Box. You will receive a confirmation email within 24 hours of submitting your reward request. If you do not receive a confirmation email – or if you receive the confirmation email and your mailing address is incorrect - please resubmit your rewards request.