Answer a few simple questions to make your document in minutes
Save progress and finish on any device; download & print anytime
Securely sign online and invite others to sign
Making a Vaccine Exemption Form
There are several reasons why you might not be able to be vaccinated. If your employer requires that you be vaccinated, you may qualify for an exemption. Use this form to indicate to your employer that you are unable to be vaccinated and require an exemption. It may be in your best interest to have this document notarized.
If your employer requires vaccinations, you may need to provide formal documentation when you have a medical, religious or other personal reason why you are unable to comply. With a Vaccine Exemption Form, employees can submit a formal statement for employers to keep on file. This document can be submitted voluntarily by employees or distributed by an employer as part of a Vaccination Policy rollout or during the onboarding process.
Having your form notarized may be required by your employer. Even if it isn't required, having your statement notarized can help it feel more official.
A medical or religious exemption will allow an individual to decide against getting a vaccine, even if a health-related guideline would have otherwise mandated that the individual be vaccinated. Medical exemptions are usually granted to those who have an underlying health condition, such as a weakened immune system or autoimmune condition, or those who may experience a severe allergic reaction to a vaccine. A religious exemption may be granted to those who do not want to get vaccinated because of opposing religious beliefs.
Accommodating those with a medical or religious exemption can come in many forms. It really depends on the individual’s specific circumstances. To determine an appropriate accommodation, the employee, employer, and any other involved party (e.g. religious leader or healthcare provider) will have to initiate the interactive process, whereby all parties discuss the extent to which accommodation is needed. Accommodations can range anywhere from adjusting an employee’s schedule to allowing the employee to work from home.
An employer can deny a request for vaccine exemption if it would bring about “undue hardship.” This can broadly be defined as significant difficulty or cost, or accommodation that requires the business to fundamentally alter how the business operates. If you need to deny an exemption request, it is important to talk to a lawyer who can help you navigate any potential issues that may arise as a result.