Vaccine Free Parenting
Verbiage needed for Adult Religious exemption request Form - required by employer
Would you have any suggestions on how to fill out this form? This is a form the employer provided. Looking for an AIRTIGHT response as had a serious reaction to a flu shot 10 years ago but he needs a job. We are pretty scared to have to get it.
INFLUENZA VACCINATION Religious Exemption Request FORM
To improve the safety of our patients, coworkers and community COMPANY/HOSPITAL requires all employees and contracted staff to receive a flu shot by December 1, 2017.
To be completed by the Employee:
How long have you been practicing this belief:___________________
My signature below affirms that my request for religious exemption from the influenza vaccination is based upon sincerely held beliefs and practices. I believe I should not receive the vaccination because: _________________________________________________________
COMPANY/HOSPITAL reserves the right to confirm the information provided with your witness or religious leader. By signing this form, you hereby authorize COMPANY/HOSPITAL HR and Spiritual Care professionals to contact your religious leader regarding the beliefs that prevent you from receiving the influenza vaccination. If your request is not approved, you will be expected to receive the influenza vaccine.
To be completed by the witness or religious leader.
My signature below attests that I understand the above named individual’s religious belief and the reason that receiving the influenza vaccination violates those beliefs.
Have you tried to contact Alan Phillips? It looks like he has a helpful thread on this forum...
Vaccine Rights Attorney - Exemption & Rights Questions Addressed Here
Greetings! I'm the nation's only attorney who practices in all of the exemption areas, and whose entire practice is focused on vaccine exemptions and vaccine legislative activism. I've worked with clients, attorneys, legislators and activists nationally concerning vaccines required at birth; for...
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