Download and fill out your religious exemption

Religious exemption indicates that there is a provision in the statute that allows parents to exempt their children from vaccination and adults to opt out of vaccination if it contradicts their sincere religious beliefs. Per the U.S. Equal Employment Opportunity Commission (EEOC) which enforces Federal laws prohibiting employment discrimination, employers MUST offer religious and disability accommodations to vaccine requirements.

DIRECTIONS: 

Step 1: Download and print the Religious Exemption form below under the section "RELIGIOUS EXEMPTION FORMS (ADULT AND CHILD)". Make sure to print the correct form for either a child or an adult.  

Step 2: (For child only) Locate your state code below which allows for Religious Vaccine Exemptions for school and write it  on your Religious Vaccination form. CA, NY, ME, MS, CT, and WV will NOT accept Religious Exemptions for students grades K-12. 

Step 3: Make sure to get your Religious Exemption form notarized. 

Step 4: If the institution requesting vaccination needs further explanation as to why vaccines  conflict with/or violate your sincerely held religious belief/observance/practice, please see the "RELIGIOUS CONCERNS" tab on the FOR-US website for detailed information regarding specific religious reasons as to why some may oppose vaccination. Alternatively, rather than explaining why vaccines conflict with/or violate  your beliefs, you can follow step #5 below and ask the requesting institution to "see the attachment." 

Step 5: If the institution requesting vaccination needs the signature or a letter from a clergy member to back up your request for a Religious Exemption, you may wish to present the information found on the FOR-US website, along with your exemption form to one of your local faith leaders for guidance. FOR-US has sample letters under the tab "CLERGY LETTERS." If you are having difficulty locating a faith leader to help you with this process, please feel free to email info@forunitedsolutions.org  so that we may help you complete the process of submitting a Religious Exemption. 

* SOME STATES MAY REQUIRE YOU USE ADDITIONAL FORMS THAT THE STATE PROVIDES.

(From A Voice For Choice Advocacy https://avoiceforchoiceadvocacy.org/ )

All Employees: Per the U.S. Equal Employment Opportunity Commission (EEOC) which enforces Federal laws prohibiting employment discrimination, employers MUST offer religious and disability accommodations to vaccine requirements.

High Exposure Employees in California: In California, according to the California Occupational Safety and Health Administration (Cal/OSHA)’s Aerosol Transmissible Diseases Standard, Title 8, California Code of Regulations (CCR) Section 5199, employees who would have occupational exposure (defined as “exposure from work activity or working conditions that is reasonably anticipated to create an elevated risk of contracting any disease caused by ATPs or ATPs-L if protective measures are not in place.”), must be offered a declination statement.

College/University Students in California and other states: There is no law for college students regarding vaccinations, so this is at the discretion of the college/university.  

The following is a list of state codes needed to fill out the attached Religious Vaccine Exemption form for CHILDREN. These codes are specifically for exemptions related to school. Please locate your state code below. For more information on statutes https://www.ncsl.org/research/health/school-immunization-exemption-state-laws.aspx

State                           Statute                                                                              Religious Exemption              

Alabama                     Ala. Code § 16-30-3                                                           YES

Alaska                         Ak. Stat. §14.30.125                                                           YES

Arizona                       Ariz. Rev. Stat. Ann. § 15-872, 873                                   YES

Arkansas                     Ark. Code Ann. § 6-18-702                                                YES

California                    Cal. Health & Safety Code § 120325 et seq.                   NO

Colorado                     Colo. Rev. Stat. § 25-4-902, 903                                        YES

Connecticut                                    Public Act 21-6                                                 NO

Delaware                     Del. Code Ann.  tit. 14  § 131                                            YES

Washington, DC          D.C. Code Ann. § 38-501, 506                                          YES

Florida                          Fla. Stat. Ann. § 1003.22                                                   YES

Georgia                        Ga. Code Ann. § 20-2-771                                                 YES

Hawaii                          Haw. Rev. Stat. § 302A-1154, 1156                                  YES

Idaho                            Idaho Code § 39-4801, 4802                                            YES

Illinois                           105 Ill. Comp. Stat. § 5/27-8.1                                          YES

Indiana                        IC 20-34-3-2. Religious objections                                     YES

Iowa                              Iowa Code Ann. § 139A.8                                                  YES

Kansas                          Kan. Stat. Ann. § 72-5209                                                  YES

Kentucky                       Ky. Rev. Stat. Ann. § 214.034                                            YES

Louisiana                       La. Rev. Stat. Ann. § 17:170(A); 40:31.16                        YES

Maine                             Me. Rev. Stat. Ann. tit. 20-A § 6355                                 NO

Maryland                       Md. Code Ann. Educ. § 7-403                                           YES

Massachusetts             Mass. Gen Laws ch.76, § 15                                              YES

Michigan                       Mich. Comp. Laws Ann. § 333.9208, 9215                      YES

Minnesota                    Minn. Stat. Ann. § 121A-15                                                YES

Mississippi                    Miss. Code Ann. § 41-23-37                                              NO

Missouri                        Mo. Rev. Stat. § 167.181, 210.003                                    YES

Montana                        Mont. Code Ann. § 20-5-403, 405                                   YES

Nebraska                       Neb. Rev. Stat. Ann. § 79-217, 221                                  YES

Nevada                           Nev. Rev. Stat. § 392.435, 437, 439                                 YES

New Hampshire            N.H. Rev. Stat. Ann. § 141-C:20-a, 20-c                          YES

New Jersey                      N.J. Stat. Ann. § 26:1A-9, 9.1                                           YES

New Mexico                    N.M. Stat. Ann. § 24-5-1, 3                                              YES

New York                         N.Y. Pub. Health Law § 2164                                          NO

North Carolina                N.C. Gen. Stat. § 130A-155, 156, 157                            YES

North Dakota                  N.D. Cent. Code § 23-07-17.1                                        YES

Ohio                                 Ohio Rev. Code Ann. § 3313.671                                   YES

Oklahoma                       Okla. Stat. Ann. tit. 70, § 1210.191, 192                        YES

Oregon                            Or. Rev. Stat. § 433.267                                                   YES

Pennsylvania                  28 Pa. Code § 23-83, 84                                                   YES

Rhode Island                   R.I. Gen. Laws § 16-38-2                                                 YES

South Carolina                S.C. Code Ann. § 44-29-180                                           YES

South Dakota                  S.D. Codified Laws § 13-28-7.1                                     YES

Tennessee                       Tenn. Code Ann. § 49-6-5001                                        YES

Texas                                Tex. Edu Code Ann. § 38.001                                        YES

Utah                                 Utah Code Ann. § 53G-9-303                              YES

Vermont                          Vt. Stat. Ann. tit. 18, § 1121, 1122                                 YES

Virginia                            Va. Code Ann. § 22.1-271.2, § 32.1-46                          YES

Washington                    Wash. Rev. Code Ann. § 28A.210.080, 90                     YES

West Virginia                   W. Va. Code § 16-3-4                                                       NO

Wisconsin                         Wis. Stat. Ann. § 252.04                                                 YES

Wyoming                          Wyo. Stat. Ann. § 21-4-309                                            YES