Va Religious Exemption Form. Fully vaccinated (required documentation attached): The student or his parent or guardian submits a notarized certificate of religious exemption (form cre 1), to the admitting official of the school to which the student is seeking admission.
NH Religious Exemption Form
Form cre 1 is an affidavit stating that the administration of immunizing agents conflicts with the student's religious tenets or practices. Web employees should provide this form to the rac. Received the seasonal influenza vaccine this flu season. Check one statement below and complete and sign the last section of this form prior to submission to employee occupational health: The student or his parent or guardian submits a notarized certificate of religious exemption (form cre 1), to the admitting official of the school to which the student is seeking admission. Web commonwealth of virginia certificate of religious exemption name ____________________________________ birth date _______________________ student i.d. Please read the descriptions below to learn the criteria to request a medical or religious exception. I have read and fully understand the information on this form and have been given the opportunity to have my questions answered. You may select medical exception, religious exception, or select both if you meet the criteria for both a medical and religious exception. Web regarding disability requests, approvals will be annotated on both the va form 10230a and va form 0857f, accommodation request determination, in accordance with va handbook 5975.1.
Please read the descriptions below to learn the criteria to request a medical or religious exception. Check one statement below and complete and sign the last section of this form prior to submission to employee occupational health: Number __________________________________ the administration of immunizing agents conflicts with the above named student's/my religious tenets or. Rac will assign log number below for record keeping purposes. Web employees should provide this form to the rac. You may select medical exception, religious exception, or select both if you meet the criteria for both a medical and religious exception. The student or his parent or guardian submits a notarized certificate of religious exemption (form cre 1), to the admitting official of the school to which the student is seeking admission. Please read the descriptions below to learn the criteria to request a medical or religious exception. Trainee, resident, intern, fee basis, or researcher) please indicate: Regarding religious requests, approvals will be annotated on va form 10230b and written notice of the approval Fully vaccinated (required documentation attached):
