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  • Pace University Request For Religious Exemption To The Covid-19 Vaccine Form

Get Pace University Request For Religious Exemption To The Covid-19 Vaccine Form

REQUEST FOR RELIGIOUS EXEMPTION TO THE COVID19 VACCINE FORM Name: Date of Birth: ID#: Grad Year: A written and signed statement stating you have sincere and genuine religious beliefs which prohibit.

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How to fill out the PACE University Request For Religious Exemption To The Covid-19 Vaccine Form online

This guide provides clear instructions on completing the PACE University Request For Religious Exemption To The Covid-19 Vaccine Form online. Follow these steps to ensure your form is filled out accurately and submitted properly.

Follow the steps to complete the exemption request form online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering your name in the designated field. Ensure that you provide your full legal name as it appears on official documents.
  3. Next, fill in your date of birth in the specified format. This is necessary for verification purposes.
  4. Enter your ID number in the corresponding field, ensuring it matches your university identification.
  5. Provide your anticipated graduation year. This helps the university track your application in relation to your academic progress.
  6. Compose your written and signed statement. Clearly articulate your sincere and genuine religious beliefs that impede your ability to receive immunizations. Address the required elements: explain why you seek the exemption, outline the religious principles behind your objection, and specify your stance on all immunizations.
  7. Affirm the truthfulness of your statement by signing the form. Make sure the signature is clear and matches your legal name.
  8. Enter the date of your signature. This date should reflect the day you are signing the form.
  9. Finally, complete, sign, and upload this form to the university healthcare's secure patient portal as instructed.

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Step 1: Visit Med+Proctor and click “Register For A New Account” to start a new account. Use your MSU email address and follow the directions to register for a new account. Step 2: Log in to your Med+Proctor account and upload a copy of your immunization documents. Make sure your forms are complete and legible.

Submit the Student Immunization Record to Email healthcompliance@fsu.edu. Fax to 850-644-8958. Mail to University Health Services. ... Bring to Room 1005, Health and Wellness Center or place them in the Health Compliance box in the atrium. We are unable to accept photos of documents at this time.

Religious Exemptions Requests for exemptions must be written and signed by the student if 18 years of age or older, or parent(s), or guardian if under the age of 18. The institution may require supporting documents. It is not required that a religious exemption statement be notarized.

Dial one of the toll-free numbers below: 1 (866) PACE-EDU - 1 (866) 722-3338. 1 (855) PACE-311 - 1 (855) 722-3311.

Submit electronically via cougarcare.siue.edu (your secure health portal) OR Submit electronically via cougarcare.siue.edu (your secure health portal) OR. Fax to SIUE Health Service at (618) 650-5839, OR. Mail to Campus Box 1055, Edwardsville, IL 62026-1055, OR.

If you have questions please call (877) 672-1830 or email immunization@pace.edu.

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Fill PACE University Request For Religious Exemption To The Covid-19 Vaccine Form

A written and signed statement stating you have sincere and genuine religious beliefs which prohibit you from receiving immunizations. When applying for a religious exemption, the student must complete the Religious Exemption Form. REQUEST FOR MEDICAL EXEMPTION TO COVID-19 VACCINE FORM. To fill out the request for a religious exemption, first ensure you have a clear understanding of your religious beliefs regarding immunizations. To be eligible for a possible exception, you must first establish that your refusal to be vaccinated is based upon a sincere belief that is religious in nature. This form is to be used in applying for a religious exemption to the vaccine requirements for Covid-.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232