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

OMB 3202-0005

Latest Forms, Documents, and Supporting Material

Document Name
Form 1 Request for a Medical Exception to the COVID-19 Vaccination Requirement Form and Instruction
Emergency Justification Letter.pdf Supplementary Document
Supporting Statement Part A 12 120 2021 FINAL.docx Supporting Statement A
Request for a Medical Exception to the COVID-19 Vaccination Requirement Form and Instruction