Request for Medical and Religious Exception to the COVID-19 Vaccination Requirement

OMB 3124-0016

Latest Forms, Documents, and Supporting Material

Document Name
Request for Medical and Religious Exception to the COVID-19 Vaccination Requirement Form and Instruction
MSPB Emergency Clearance Request for Medical and Religious Exception Form 83-I (Signed).pdf Supplementary Document
MSPBEM~3.PDF Supplementary Document
MSPBEM~2.PDF Supporting Statement A
Request for Medical and Religious Exception to the COVID-19 Vaccination Requirement Form and Instruction