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

OMB 0503-0027

Latest Forms, Documents, and Supporting Material

Document Name
Request for a Medical Exemption to the COVID -19 Vaccination Requirement Form and Instruction
SuptStmt 0503-0027.docx Supporting Statement A
opm-sorn-govt-10-employee-medical-file-systems-records (1).pdf Supplementary Document
Federal Register, Volume 86 Issue 213 (Monday, November 8, 2021).html Supplementary Document
Request for a Medical Exemption to the COVID -19 Vaccination Requirement Form and Instruction