A pastor from Oklahoma is offering to sign religious exemptions from the COVID-19 vaccine for anyone who becomes an online member of his church. Proposed Missouri vaccine mandate restrictions raise workers rights, religious belief debates. To request disability accommodations as the basis for exemption from the a`8\IIY9$LL9M|!00fpL44MXUC@AD@Um9fc`P Current Revision Date: 02/2022 Due to The district is requiring approval from the individual's religious leader. Rogers HR1 y08@yAON_*`Us9J/1[lr>[./ul. If you have a story idea, send it to me at mmbf3z@mail.missouri.edu or DM me on Twitter @MaggieB_TV. Find a COVID-19 vaccine or booster: Search vaccines.gov, text your ZIP code to 438829, or call 1-800-232-0233 to Vaccine-preventable diseases are at an all time low thanks to more people being vaccinated, saving lives and millions of dollars in health care costs, but this doesn't mean the diseases have disappeared. Success! Paula F. Nickelson, PLEASE READ THIS DISCLAIMER CAREFULLY BEFORE USING THE SERVICE. Step 2: Submit the completed request form. The committee heard testimony on six bills related to vaccine mandates and medical treatment requirements, in what is likely to become a continuing subject of debate as lawmakers meet in the third year of the pandemic. If there are differences between the English content and its translation, the English content is always the most :Em! endstream endobj 98 0 obj <>/Subtype/Form/Type/XObject>>stream With 95% of his workforce vaccinated, he felt to was a reasonable accommodation. The EO 11246 religious exemption is preserved. Connecticut House Bill 6423 removes the religious exemption for vaccine requirement for young within grade 12 or below. Google Translate will not translate all applications. Most vaccine-preventable diseases are caused by germs called viruses or bacteria. But there are two exceptions to that rule those who have approved exemptions for medical or religious reasons. EMC In the St. Louis area, positivity rates are nearing 40% and COVID-19 hospitalizations are breaking records. WebIn the space below, please provide a written statement detailing the religious basis for your COVID-19 vaccination objection, explaining why you are requesting this religious exemption, the religious principle(s) that guide your objections to vaccination, including any eligious doctrine or belief that prohibits the COVID-19 vaccination. PORTLAND, Ore. Most state employees in Oregon and Washington, as well as all K-12 school staff and health care workers, must be fully vaccinated against COVID-19 by Oct. 18, or they risk losing their jobs. Have the latest local news delivered every morning to start your day informed. WebStep 1: Review and acknowledge the information below. 0 Under the bill, public officials would be prohibited from limiting religious gatherings or services except in cases where violence was being planned or committed or emergency evacuations. WebCOVID-19 VACCINATION REQUEST FOR MEDICAL EXEMPTION FORM Name: Email: Department: Provider: Date of Birth: Phone: Supervisor: Provider Phone: University of Missourirequires a COVID-19 vaccinationin certain units or departments of the university unless approved, for an exemption. endstream endobj 111 0 obj <>/Subtype/Form/Type/XObject>>stream This is why it is important for everyone to receive all of the recommended immunizations on time. Advocates and opponents toiled over the difficulty of defining a belief, the role and rights of employers and employees, the nature of the states economic system, and broader philosophy and legalese for more than three hours, largely acknowledging room for adjustment in the legislation. HRAn0 =}ud) (rBRB]A!jNvSo~ ?#y)rn The bill, sponsored by Rep. Bruce DeGroot, R-Ellisville, which received support from pro-life and criminal justice advocates, would establish facilities run by the Department of Corrections. By selecting a language from the Google Translate menu, the user accepts the legal implications of any misinterpretations or differences in the translation. WebIn the space below, please provide a written statement detailing the religious basis for your COVID-19 vaccination objection, explaining why you are requesting this religious exemption, the religious principle(s) that guide your objections to vaccination, including any eligious doctrine or belief that prohibits the COVID-19 vaccination. WebThe Biden administration COVID-19 action plan, also called the Path out of the Pandemic, is a substantial increase in the use of vaccination mandates as part of the U.S. federal government response to the COVID-19 pandemic announced by President Joe Biden on September 9, 2021, to be carried out by officials in the Biden administration.The plan /Tx BMC /Tx BMC Vanderbilt University Medical Center has compiled a list of religions and their views on vaccines. endstream endobj 99 0 obj <>/Subtype/Form/Type/XObject>>stream Nine other states have already set up similar programs. 173 0 obj <>stream Vaccine hesitancy is very I want to state clearly the outcome of the Churchs doctrinal and pastoral reflection on this matter: It is morally permissible and morally responsible to receive the COVID-19 vaccines currently available.. I realize that my risk of contracting and spreading COVID-19 to others is increased by not receiving the recommended COVID-19 They found that most do not prohibit them, but may have concerns and restrictions regarding the reason for vaccine or ingredients in it. Email notifications are only sent once a day, and only if there are new matching items. RELATED: Oregon K-12 school staff and health care workers required to get vaccinated against COVID-19. An In-Depth Look at Faith-based Exemptions from COVID-19 Vaccine accurate. SLU created a committee responsible for reviewing and accepting religious exemption applications from faculty and students. Vaccines to help prevent these diseases generally contain weakened or dead viruses or bacteria specific to the disease. Oregon's vaccination requirements specify that employers must take "reasonable steps" to ensure unvaccinated employees are not contracting or spreading COVID. ,7E?8%leD_B(pO&g-tswr#3{vOgw_D0D}yDni\}9s}Gc8; 30H i 1i 74"e s5@\eb v endstream endobj 108 0 obj <>/Subtype/Form/Type/XObject>>stream WebSection 3 Mark each COVID -19 vaccines below that applies to your request. (2-16-17), Immunizations for Health Care Workers (5-18-17), Travel Vaccines: Who Needs What to Go Where (6-15-17), HPV: You are the Key to Prevention (7-20-17). WATCH: Health experts warn against taking ivermectin to treat COVID-19, The guidelines for religious exemptions leave a bit more room for interpretation. endstream endobj 109 0 obj <>/Subtype/Form/Type/XObject>>stream Those individualswho are granted exemptions will be required to wear a mask while at work and comply with any other applicable guidelines or policies. Employers are not required to accept all exemption requests at face value, according to experts we spoke to. That means unvaccinated individuals, even those with an approved exemption, could see their role change. as with certain file types, video content, and images. Km\*Yv. You assert that you have a sincerely held religious belief or religious conviction that prevents you from receiving the COVID-19 vaccine. endstream endobj 100 0 obj <>/Subtype/Form/Type/XObject>>stream There was an error processing your request. Missouri's immunization program is working to stop the spread of vaccine-preventable diseases by providing vaccines to children and adolescents who cannot pay for them through the Vaccines for Children Program; educating health care professionals, medical providers and the public on the importance of vaccinations; and ensuring that children who are in child care and school are adequately immunized against diseases that are harmful and sometimes deadly. All 50 states have legislation requiring specified vaccines Their decision comes as data shows nearly 99% of recent U.S. COVID-19 deaths are unvaccinated individuals. The bills that allow for vaccination mandates stipulate that employers must accept broader exemptions than the current federally required religious exceptions. Error! %%EOF *!m:A` u 5@MKsMr~[iE/.,}S9.xi&}KQ=XG[hNXR|-lmXvEt119W}z5tvS`{f\[uWK/cZ\|nq}~\M(KnNw,G7kHewI[yvk[giny N^gw?f>-V,ZgGlI[nkf9;O`1J PxLd|] -dacEj'8/3'AUS\sjcD;vw$nvwGqo'bvS;UZ)!;C[U|e}MxSl7v;iYsU|vqqd9].`;*Sq1OFM@7N9C'#We{P&&S=uqjgA~$ie+se'4c\:}@SVx?s5:x?}=`MT Evans bill would also allow employer mandates to be exempt from the bills limitations if employers could prove that limiting requirements would cause them undue hardship.. Vaccines help your body recognize and fight these germs and protect you each time you come in contact with someone who is sick with any of these diseases. KOMU 8 spoke with a faculty member of St. Louis University who said the university would not accept exemptions on grounds of disbelief in the science of the vaccine or simply being uncomfortable. This is the issue that I must spent a lot of Employees who are required to get the COVID-19 vaccine can request a medical or religious exemption. WebCOVID-19 VACCINATION REQUEST FOR MEDICAL EXEMPTION FORM. Mike Parson is putting pressure on the Legislature to act. St. Louis University is one of several schools in Missouri requiring vaccines for faculty and students. Rogers claims she refused the COVID-19 vaccine "due to sincerely held religious beliefs and because she previously had COVID and had natural antibodies[.]" translations of web pages. /Tx BMC Filing 1 at 2 (10). MU Health Care is another entity requiring employees, students and staff to receive a COVID-19 vaccine. Requests for religious exemption will be considered if the request containsdocumentation of the specific religious beliefs that are claimed to be violated bythe mask requirement, he said. H1 EwN|!pUP:TTbGPe~to)/R3_5[?!m:Aw7msXp1!AM:dM>p/4.9Y\3JqcvU8-t u Name: Email: Department: Provider: Date of Birth: Phone: Supervisor: Provider Phone: University of Exact forms and questions may vary depending on the school district or health care system. To request a medical exception or delay from the COVID-19 vaccination requirement using this form: You must complete Part 1 of this form. HOA0@t]O@%Mf.E+MT2!/A%3\A@y5P[,vTctznc;tuBi1PM@,vTznc;uwC70:lZ7,v,}i N'ivG xV The child, identified as W.B., and his parents, Zach and Audrey Baker, sued the Crossroads Academy and Missouris health agency, the Department of Health and Senior Services, over the language in the official form. The State of Missouri has no control over the nature, content, and availability of the service, and accordingly, cannot guarantee the accuracy, reliability, or timeliness of the Filing 1 at 2 (9). The religious beliefs must be long-standing and personalto the individual seeking the exemption. I am a KOMU 8 Reporter and Digital Producer This would prevent religious entities from being subject to any future shutdown or quarantine orders. Example video title will go here for this video. /Tx BMC However, COVID-19 vaccines have raised the question of what exactly a religious exemption is and how to get one. So what qualifies as a medical or religious exemption? 94 0 obj <> endobj According to a statement sent to KOMU 8 from MU Health Care, the clinic is working to review medical and religious exemptions as well. endstream endobj 110 0 obj <>/Subtype/Form/Type/XObject>>stream Today, vaccine exemptions fall into three main categories: 1. endstream endobj 105 0 obj <>/Subtype/Form/Type/XObject>>stream If an employee has a medical reason they can be exempt from a vaccine requirement. Again, employers have the right to review all exemption requests. Steve Combs, superintendent of Harrisburg R-VIII School District, announced last week the addition of religious exceptions to their school mask mandate. People have a right to seek medical and religious exemptions under federal law. Please describe the nature of your objection to the COVID-19 vaccination requirement. Taylor Duty, an attorney at JJH Law who specializes in employment law, said employers can ask for additional information if an exemption has been requested. REQUEST FOR A RELIGIOUS EXCEPTION TO THE COVID-19 VACCINATION REQUIREMENT Government-wide policy requires all Federal WebThis page contains information and company regarding school and child care immunization requirements and reporting. Translate to provide an exact translation of the website. As to each marked, identify your sincerely held religious belief upon which you base the request to COVID-19 vaccines are safe and effective. In addition, some applications and/or services may not work as expected when translated. Colorado Senate Bills 163 req a person seeking a nonmedical exemption (either religiously or personal belief) to send a certificate von completion the an online The hearing also opened debate on a bill, HB 1897, to establish one or more nurseries in prisons for female inmates with newborns younger than 18 months. Religious exemptions: Based on the tenets of an organized religion that bC3D/:dM17UA4{#|2q)T= 7pB[ZV 3}u? A bill before the County Council creates a new definition for smoking lounges, which would be eligible for smoking exceptions. By June, that figure had dropped four percentage points to 52%, according to How Does an Employee Legally Refuse a Vaccine? Just over half of the state is vaccinated as the omicron surge continues, with far fewer having received boosters. ZYrmf[5#o ='%dp+r:: cG2~ 1Ae8k;CE2347M#&[{M0z`!k(q{Cc?J~I( 9}y/(6jlB?$Oc\k}SmALM:%L@'8R'O g"YgsY* 2. RELATED: Washington state employees union sues Gov. RELATED: Inslee makes COVID-19 vaccine a requirement for all school employees. There was a problem saving your notification. Quite frankly, a lot of employers dont know how to apply (religious exemptions), and a lot of employees want to use it, said Evans, R-West Plains. *]hHC?X For the best protection, everyone 6 months and older is recommended to stay up to date with their COVID-19 vaccines, which includes getting boosters if eligible. In some instances, those with vaccine allergies or specific underlying health conditions may be advised to wait to get a COVID vaccine. Proposed Missouri vaccine mandate restrictions raise workers rights, religious belief debates. Initial According to the Oregon Health Authority's COVID-19 vaccination requirements for school staff and health care workers, a medical exception means "that an individual has a physical or mental impairment that prevents the individual from receiving a COVID-19 vaccination.". The rule makes clear this employers are free to push additional rules regarding COVID 19 vaccine requirements, including requiring compliance prior to October 18, 2021, and requiring extra or booter Web1. Oregon Your Authority Releases Mandatory Vaccine Rule and Religious/Medical Exemption Forms fork Health Care Workers. (Yes/No), A spokesperson for Governor Inslee's office said the religious exemption process is meant to consider "appropriate details regarding how the religious belief prevents the employee from taking the vaccine.". /Tx BMC Inslee over COVID-19 vaccine mandate. Philosophical exemptions: Also called personal-belief exemptions. 630 0 obj <>/Filter/FlateDecode/ID[<3927B0AC36B3394B822C4EE8996DEA73><4527F46E60B53549AEA3E747C4BBC979>]/Index[610 30]/Info 609 0 R/Length 102/Prev 352741/Root 611 0 R/Size 640/Type/XRef/W[1 3 1]>>stream Civil rights agency releases its internal form Religious exemption requests rising in pandemic The EEOC published a sample form that employers can use for religious accommodation requests from workers, which have risen as Covid-19 vaccine mandates proliferate in the workplace. hb```c``d`e`ad@ AmL [ w"Y]'> 4cGX#30u*@ d`fc`deHF#FSx:emXo311`@4-#d$BL3@SHK39=$(8 fA2 -D4@ U6L Providing the service as a convenience is ;%UL j In Oregon, employees seeking a religious exemption will need to fill out this form, describing the religious belief and how it prevents them from receiving a COVID-19 vaccine. Washington State Department of Transportation (WSDOT) employees requesting a religious exemption must answer two questions: 1. What are the approved exemptions when it comes to the COVID-19 vaccine? For COVID-19 vaccines, according to CDC, a vaccine is clinically contraindicated if an individual has a severe allergic reaction (e.g., anaphylaxis) after a previous dose or to a component of the COVID-19 vaccine or an immediate (within 4 hours of exposure) allergic While the Catholic Faith does not prevent the use of any vaccine, and generally inspiring the use of securely and effective antitoxins as a way of safeguarding personal and public healthiness, the following authoritative Christian study demonstrate the principled religious basis on which a Catholic may determine that he or she ought at JEFFERSON CITY A discussion of vaccine mandates and exemptions quickly fractured along political lines and kicked lawyers into gear during a House Judiciary Committee hearing Wednesday afternoon. endstream endobj 112 0 obj <>stream WebThe Act applies to employers with six or more employees, including state and local governments, but does not include corporations and associations 100 percent owned and operated by religious or sectarian groups that require all its employees to be a member of the religion or sect. Lastly, requests for exemption must containverification of the validity of the requestfrom Clergymen, Rabi, Priests, Imen, etc.. hbbd```b``"0L}`r5XL2V`F0 !g3Sn7 *`LJPt`0 =DfIMN S{"`2Dz/>8"L_n WebForm: GSA19R Request for a Religious Exception to the COVID-19 Vaccination Requirement Form is for GSA employee use only. Exemptions from state or local requirements may apply to some children. We respect there are reasons some of our team members have not yet been vaccinated, and we are working to provide support and ensure easy access to the vaccine before the COVID-19 vaccination requirement goes into effect Oct. 1, MU Health Care said. The health and safety of our employees, patients and our community remain our top priority, Gaspare Calvaruso, president of Capital Region Medical Center, said. Please describe whether, as an adult, you have received any vaccines against any other diseases (such as a flu vaccine or a tetanus vaccine) and, if so, what vaccine you most endstream endobj 107 0 obj <>/Subtype/Form/Type/XObject>>stream Missouri says there is no limit to any particular religion, and it does not require parents to agree with the states explanation of vaccination benefits. An email has been sent to with a link to confirm list signup. Mar 23, 2022 JEFFERSON CITY, Mo. As the COVID-19 crisis deepens and communities across the country struggle with a shortage of hospital beds, support is falling for religious exemptions to vaccine mandates. The state clearly has a role in helping our businesses and helping our employees define what that means.. If yes, what is the expected duration? 0 translation. The medical indemnification would remain in place. not an endorsement of the product or the results generated and nothing herein should be construed as such an approval or endorsement. You affirm/agree that you have never received a vaccine or medicine from a health care provider as an adult. EMC :Em! Sign up for our newsletter to keep reading. Several sponsors made the case that accommodations could be made for employees that refused vaccination, citing telework options. F2 "The moral aspects of the vaccine have been thoroughly examined by the Catholic Church, he said. Initial COVID-19 vaccination is recommended for me and for the college community to protect me and I acknowledge that by signing this Non-Medical, Including Religious Exemption Form, that my belief is of a religious nature and not due to personal or philosophical oppositions to the vaccine. Those seeking a medical exemption in Washington should talk to their employers directly. Bills that would bar government entities from requiring COVID-19 vaccinations and require private employers to grant Related Article: COVID-19 Vaccine Mandates: What HR Leaders Need to Know. Portland Public Schools Chief Human Resources Officer Sharon Reese told KGW that's what Oregon's largest school district intends to do. %PDF-1.7 % Km\*Yv. You should not rely on Google Last chance! WebMissouri Department of Health and Senior Services form Imm.P.14 must be on file at the school with the immunization health record for each child. 132 0 obj <>/Filter/FlateDecode/ID[<44771624B48F5C48AE2AC777A2E1CABD>]/Index[94 80]/Info 93 0 R/Length 149/Prev 175619/Root 95 0 R/Size 174/Type/XRef/W[1 3 1]>>stream So what qualifies as a medical or religious exemption and what information will employees need to provide in order to request one? Web2022 - 2023 Survey Form-CD-31 Standardized form used to report immunization status of Missouri Public, Private, Parochial and Parish school children. In Conway, Ark., Matt Troup, CEO of Conway Regional Health System, has granted 45 religious exemptions to employees who refused to get a COVID-19 WebREQUEST FOR RELIGIOUS EXEMPTION / ACCOMMODATION RELATED TO [COMPANY NAMES] COVID-19 VACCINATION POLICY by offering opportunities for 0000003338 00000 n 0000040296 Connecticut be ended one long-standing religious exemption from immunization requirements for schools and the governor has signed to bill into law. Medical exemptions: Includes severe allergies to the vaccine or components of the vaccine, immune system disorders. Enact Legislation 2021. In Oregon and Washington, employees seeking a vaccine exemption will have to fill out a request form which their employer will then review. This Requests for religious exemption will be considered if the request contains documentation of the specific religious beliefs that are claimed to be violated by the endstream endobj 106 0 obj <>/Subtype/Form/Type/XObject>>stream hbbd```b``"/IirD2YeZxXL`R,kfKI@q, ]$``bd`I T+> Those seeking a medical exemption will need to fill out this form and have it signed by a medical provider certifying that they should not receive the COVID-19 vaccine. Webmissouri religious exemption form for adults. Buchheit-Courtway, R-Festus, acknowledged that the federal government already prohibited mandates for unapproved vaccines, but she, like many other sponsors, emphasized a perceived need to clarify rules in state law. Do you have something you want us to Verify? Employees who are required to get the COVID-19 vaccine can request a medical or religious exemption. Cardinals latest, deflating loss compounds concerns, Man shot, killed near Kiener Plaza in downtown St. Louis, What was Andrew Knizner thinking? WebIn the space below, please provide a written statement detailing the religious basis for your COVID-19 vaccination objection, explaining why you are requesting this religious All states and the District of Columbia allow a medical exemption. Email us atVerify@kgw.com. Pope Francis is also among those supporting the COVID-19 vaccine, seen in a video released in conjunction with the Ad Council. bC3D/:dM17UA4{#|2q)T= 7pB[ZV 3}u? 610 0 obj <> endobj (10-20-16), HPV Vaccination: Moving the Needle Forward (11-17-16), The Three C's for Effective Adolescent Vaccination Recommendations: Overcoming Communication Challenges (1-19-17), Which Pneumococcal Vaccine Should You Be Administering? Above all, Duty says it's important for employers to engage in that interactive process, especially when it comes to religious exemptions. - Is the medical condition temporary? endstream endobj 95 0 obj <>/Metadata 20 0 R/Pages 92 0 R/StructTreeRoot 49 0 R/Type/Catalog/ViewerPreferences 134 0 R>> endobj 96 0 obj <>/MediaBox[0 0 612 792]/Parent 92 0 R/Resources<>/ProcSet[/PDF/Text]>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 97 0 obj <>/Subtype/Form/Type/XObject>>stream Duty said it's important for employers to take exemption requests seriously, otherwise they could be violating the law, but even those who are granted an exemption could see their job change. /Tx BMC HRAn0 =}ud) (rBRB]A!jNvSo~ ?#y)rn Notifications can be turned off anytime in the browser settings. >2]og{JUYZ`Q55L6AEQmG>hO^)7}('S2ViFz_ti?TM{hngm{C.'Ldv[uv=( You have permission to edit this article. To report an error or typo, email news@komu.com. I realize that my risk of contracting and spreading COVID-19 to others is increased by not receiving the recommended COVID-19 Missouri Department of Health & Senior Services, Human Papillomavirus (HPV) Is Cancer Prevention Video, Clear Answers & Smart Advice About Your Baby's Shots, Determining Eligibility for Vaccines Flow Chart, Influenza Vaccine Order and Accountability Form, VFC Update - 2016-2017 Section 317 policy, Section 317 Funded Vaccine for the Adult Population, Section 317 Funded Vaccine for the Pediatric Population, Vaccines for Adults (VFA) Section 317 Screening Tool, MenHibrix Available for the VFC Program, Immunizations411 Webinar Series Registration, Vaccines for Children - Information for Providers, Vaccines for Children - Information for Parents, Nondiscrimination Notice (Translations Available), Immunizations411 Link.Login.Learn Webinar Series Recorded Archive, Scheduling & Spacing of Pediatric Immunizations with Emphasis on Pneumococcal & Rotavirus Vaccines (6-19-14), Clinical Use and Benefits of State Immunizations Information Systems (8-21-14), Improving Adult Immunization - How Do We Get There From Here? Subscribe with this special offer to keep reading, (renews at {{format_dollars}}{{start_price}}{{format_cents}}/month + tax). endstream endobj startxref hmy|^$+:5 JY.eqzynw>oy{{U{B%XhooX5oUVDPX=}SioLiysZRKRY,cv_h9]\f-jTEVjw./beWJXHPp'K]%\sZiY,ls6AN&x'z6`/w^zM^|=N%^;gL.~w}jw>~j:..y5Xu v.w7Wo'KK!)'f/n/__^?El9m'J|{bj}_\={o_tueI sq7P?bkxb!BWb#|f4g-j}OFS#U6j-OO\Mgm.ooz~vN#?bG,Q'F]x[z#Vs`VO)Cjquse$I;6Z/Nk} oF't9}vS--@PgbT[z_|jzs?`E|e[^]|} wr_l|yd$p-gxf~?8,rse_,u3X8 ZuFRLtb]XWFv^~6y}VK>_l}_/uLI&Qe=rUwP_w77/|_1!p0.g?P}Wz}eYg W 2wooo]y.|Ogo~zyo/_4*2s%,_?e_l/3&pyg&ayl =Y In response to the Department of Health and Human Services declaring COVID-19 a public health HOA0@t]O@%Mf.E+MT2!/A%3\A@y5P[,vTctznc;tuBi1PM@,vTznc;uwC70:lZ7,v,}i N'ivG xV These exemptions largely fall into arguably catch-all phrases like conscientious objection and sincerely held beliefs, sponsors said, in efforts to include beliefs that defy traditional understanding of religion. *]hHC?X Inslee's office said the process is meant to be interactive and employees will have a chance to appeal a rejected request in many circumstances. Enact Legislation 2021. WebMissouri's immunization program is working to stop the spread of vaccine-preventable diseases by providing vaccines to children and adolescents who cannot pay for them through the Vaccines for Children Program; educating health care professionals, medical providers and the public on the importance of vaccinations; and ensuring that children An outfield in flux. EMC I acknowledge that by signing this Non-Medical, Including Religious Exemption Form, that my belief is of a religious nature and not due to personal or philosophical oppositions to the vaccine. The Google Translate Service is offered as a convenience and is subject to applicable Google Terms of Service.