OMB control number

U.s. Direct Hire Request For A Medical Exception To The Covid-19 Vaccination Requirement

OMB 0412-0612 · AID.

OMB 0412-0612

Latest Forms, Documents, and Supporting Material

Document Name
Form AID 111-8 USDH REQUEST FOR A MEDICAL EXCEPTION TO THE COVID-19 VACCINATION REQUIREMENT Form
Justification Statement - USDH Medical Exception Form_signed.pdf Supplementary Document
Supporting Statement - USDH Medical Exception Form.pdf Supporting Statement A
USDH REQUEST FOR A MEDICAL EXCEPTION TO THE COVID-19 VACCINATION REQUIREMENT Form

All Historical Document Collections

202110-0412-003

2021-10-28