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  • Dd Form 3177 2021

Get Dd Form 3177 2021-2026

CUI (when filled in) REQUEST FOR A RELIGIOUS EXEMPTION TO THE COVID19 VACCINATION REQUIREMENT PRIVACY ACT STATEMENT Authority: DoD is authorized to collect the information on this form pursuant to.

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How to fill out the DD Form 3177 online

Filling out the DD Form 3177 online is a straightforward process that allows individuals to request a religious exemption from the COVID-19 vaccination requirement. This guide will walk you through each section of the form to ensure your submission is complete and accurate.

Follow the steps to fill out your form effectively.

  1. Click ‘Get Form’ button to access the DD Form 3177 and open it in your preferred digital format.
  2. Begin by entering your full name in the Employee Name field (Last, First, Middle Initial) for identification purposes.
  3. Provide your DoD ID Number, which is essential for processing your request.
  4. In the Office Symbol field, enter your office designation to clarify your work location.
  5. Specify the Date of Request in the format YYYYMMDD to indicate when you are submitting the form.
  6. Fill in your Position/Title to give context regarding your role within the Department of Defense.
  7. Write your Supervisor's Name, as this may be needed for reference during the evaluation of your request.
  8. Include your Supervisor's Phone Number to facilitate communication if further information is required.
  9. In Block 8, provide a detailed description of the religious belief, practice, or observance that justifies your exemption request.
  10. Describe in Block 9 when and how you came to hold this religious belief or observe the religious practice.
  11. Block 10 requires you to demonstrate how you have practiced this belief or observance in the past.
  12. In Block 11, explain how receiving the COVID-19 vaccines would conflict with your religious beliefs.
  13. Respond to Block 12.a by indicating whether you have previously objected to vaccinations or medical treatments based on your religious beliefs.
  14. If applicable, provide further details in Block 12.b or 12.c regarding prior objections or limitations to the COVID-19 vaccines.
  15. In Block 13, present any additional information that might assist in evaluating your request.
  16. Use Block 14 if additional space is needed to continue your responses or clarify your request.
  17. Finally, sign and date the form in Blocks 15 and 16, affirming the accuracy of the information provided.
  18. Once you have filled out all required fields, ensure to save your changes and prepare the form for submission—download, print, or share it as necessary.

Complete your DD Form 3177 online and submit it to ensure your request for a religious exemption is properly processed.

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In the United States, the first coronavirus‐related activity restrictions were issued on March 12, 2020, when a community within New Rochelle, New York, was declared to be a “containment area.” A traditional quarantine order would require individuals presumed to be exposed to stay at home.

Clinical Presentation Signs and symptoms of SARS-CoV-2 infection can include fever, chills, cough, shortness of breath, fatigue, muscle aches, headache, loss of taste or smell, sore throat, nasal congestion or rhinorrhea, vomiting or diarrhea, or skin rashes.

What You Need to Know. The federal COVID-19 PHE declaration ended on May 11, 2023. Most tools, like vaccines, treatments, and testing, will remain available.

If you develop symptoms get a test and stay home. Stay home for 5 days. After that continue to wear a mask around others for 5 additional days. If you develop symptoms get a test and stay home.

Symptoms can include: Dry cough. Shortness of breath. Loss of taste or smell. Extreme tiredness, called fatigue. Digestive symptoms such as upset stomach, vomiting or loose stools, called diarrhea. Pain, such as headaches and body or muscle aches. Fever or chills.

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