Request for a Medical or Religious Exception or Delay to the COVID-19 Vaccination Requirement

OMB 1225-0092

Latest Forms, Documents, and Supporting Material

Document Name
Form DL1-7071A Request for a Religious Exception to the Covid-19 Vaccination Requirement Form and Instruction
Form DL1-7071 Request for a Medical Exception to the COVID-19 Vaccination Requirement Form and Instruction
1225-0092 SS 5.25.22 FINAL.docx Supporting Statement A
SORN OASAM-38.pdf Supplementary Document
OPM GOVT-10 SORN.pdf Supplementary Document
DOL_CENTRAL-6 _ SORN.pdf Supplementary Document
Request for a Religious Exception to the Covid-19 Vaccination Requirement Form and Instruction
Request for a Medical Exception to the COVID-19 Vaccination Requirement Form and Instruction