Search results
In order to request a religious exception, please fill out this form. The purpose of this form is to start the accommodation process and help your agency determine whether you may be eligible for a religious exception.
A refusal to be vaccinated does not qualify for an exception if it is based upon personal preference, concerns about the possible effects of the vaccine, or political opinions. In order to request a religious exception, please fill out this form.
The purpose of this form is to determine whether you may be eligible for an exception. To be eligible for a possible exception, you must first establish that your refusal to be vaccinated is based upon a sincere belief that is religious in nature.
I understand that, notwithstanding my religious objections, my child may be excluded from child care facilities or schools during an epidemic or threatened epidemic of any disease preventable by a vaccination required by the Georgia Department of Public Health, and that
The purpose of this form is to determine whether you may be eligible for an exception. To be eligible for a possible exception, you must first establish that your refusal to be vaccinated is based upon a sincere belief that is religious in nature.
Request for Religious Exemption from COVID-19 Vaccination. A religious exemption from the COVID-19 vaccination is allowed for students or employees who hold a sincere religious belief that would prevent them from getting the vaccine.
Feb 16, 2022 · Title: Request for a Religious Exception to the COVID-19 Vaccination Requirement. Form #: GSA19R. Current Revision Date: 02/2022. Authority or Regulation: 5 U.S.C. § 2105. Special Instructions: Form is for GSA employee use only. PDF versions of forms use Adobe Reader ™ .
Oct 28, 2021 · The EEOC published a sample form that employers can use for religious accommodation requests from workers, which have risen as Covid-19 vaccine mandates proliferate in the workplace.
If you are requesting an exception from the COVID-19 vaccination requirement for religious reasons you must fill out this form and submit it to your employer or other responsible person. DO NOT SEND THIS FORM TO THE OREGON HEALTH AUTHORITY.
My individual right of bodily integrity and my right to refuse medical treatments for religious, moral, ethical, and medical reasons—whether treatments are experimental or approved by government—is protected by federal law and regulatory policy.
