![]() ![]() I further understand that is not required to provide this exemption accommodation if doing so would pose a direct threat to myself or others in the workplace or would create an undue hardship for. I understand that any falsified information can lead to disciplinary action, up to and including termination. I verify that the information I am submitting to substantiate my request for exemption from 's vaccination policy is true and accurate to the best of my knowledge. Whether you have received vaccines as an adult against any other diseases.Whether your religious objection is to the use of all vaccines, a specific type of vaccine or some other subset of vaccines.How long you have held the religious belief underlying your objection.I further acknowledge that I may be placing myself or my child and others at risk of serious illness should my child. I have had an opportunity to ask questions which were answered to my satisfaction. Please provide any additional information that you think may be helpful in reviewing your request. By signing this religious exemption form, I acknowledge that I have been educated and received materials regarding the benefits of vaccination. A letter from a leader within your religious organization supporting your belief that your religion prevents you from receiving COVID-19 vaccination. Our church has also issued a statement confirming this right and obligation according to our doctrinal standards and. Please describe the nature of your sincerely held religious beliefs or religious practice or observance that conflicts with the vaccination requirement: Please complete this form if you hold sincere religious beliefs that are contrary to the practice of vaccination and you would like to request a reasonable. Our eldership affirms the right (and where applicable, the obligation) for each member of Grace Baptist Church to take religious exception to mandatory vaccination by governmental authorities and/or employers on this basis. This sample letter includes some of the primary reasons why some Christian. ![]() How to Submit a Request for a Religious or Medical. I am requesting a religious exemption from 's mandatory vaccination policy for the following vaccination(s): College Student COVID-19 Vaccine Religious Exemption - Sample Request Letter. Please note that requesting a medical or religious exemption does not guarantee that it will be granted. To request an exemption from required vaccinations, please complete the form below and return this form to the human resources department. Faculty, staff, postdoctoral/postgraduate trainees, and students with a vaccination requirement may request an exemption for medical reasons or religious. Initial next to each of the statements below: I request exemption from the COVID-19 immunization requirement due to my sincere religious beliefs or sincerely.
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