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COVID-19 Vaccination Exemption Templates: Forms & Emails

Knowing how to approach medical exemption and religious exemption requests can feel overwhelming. Use these templates to assist in the forms and emails your business will likely need to process these requests.

 

Request for Accommodation: Medical Exemption from Vaccination

COMPANY NAME is committed to providing an equal opportunity workplace. As such, COMPANY NAME is providing exemptions/reasonable accommodations for any known medical condition or disability of qualified individuals which prohibits enforcement of our company-wide vaccination program against COVID-19. All medical exemption requests will be reviewed. Approval will be granted provided the requested accommodation is reasonable and does not create an undue hardship upon COMPANY NAME and/or pose a direct threat to the health and safety of others in the workplace or the employee filing the request.

To request an exemption or temporarily delay vaccination against COVID-19, please complete the form below.

[insert form]

 

Request for Accommodation: Religious Exemption from Vaccination

COMPANY NAME is committed to providing an equal opportunity workplace. As such, COMPANY NAME is providing exemptions/reasonable accommodations for employee-held religious beliefs of qualified individuals which prohibits enforcement of our company-wide vaccination program against COVID-19. All religious exemption requests will be reviewed. Approval will be granted provided the requested accommodation is reasonable and does not create an undue hardship upon COMPANY NAME and/or pose a direct threat to the health and safety of others in the workplace or the employee filing the request.

To request an exemption or temporarily delay vaccination against COVID-19, please complete the form below.

[insert form]

 

Exemption Acceptance Email

Dear EMPLOYEE NAME,

Thank you for providing details regarding your MEDICAL/RELIGIOUS exemption request. Based on the detail you have provided, COMPANY NAME is granting your request for COVID-19 vaccine exemption. As such, the reasonable accommodation requires you to test for COVID-19 weekly. Additionally, as per OSHA guidelines, all unvaccinated and partially vaccinated individuals must wear a mask when on site. Below is the procedure for this for your reference:

COVID-19 Testing Procedures

[INSERT COMPANY SPECIFIC PROCEDURES HERE]

Confirmation of testing must be submitted weekly to ensure compliance with [COMPANY NAME]’s policy. Failure to upload weekly test results will prohibit you from working at [COMPANY NAME] and will result in loss of compensation. 

For additional information regarding our company-wide vaccine policy, please reach out to INSERT EMAIL.

Regards,

[SIGNATURE]

 

Exemption Denial Email

Dear EMPLOYEE NAME,

Thank you for providing details regarding your MEDICAL/RELIGIOUS exemption request. After careful consideration, we are unable to approve your request for accommodation. [INSERT DENIAL REASON].

If you have any questions or would like additional information, please contact [INSERT EMAIL].

Regards,

[SIGNATURE]