COVID-19 Vaccination Requests for Waiver

OMB 1405-0246

Latest Forms, Documents, and Supporting Material

Document Name
Form DS-5159 REQUEST FOR A RELIGIOUS ACCOMMODATION TO THE COVID-19 VACCINATION REQUIREMENT Form and Instruction
Form DS-5158 REQUEST FOR A MEDICAL EXCEPTION TO THE COVID-19 VACCINATION REQUIREMENT Form and Instruction
Legal Authorities 1405-0246.docx Supplementary Document
30 Day supporting statement - COVID Vacc Requests for Waiver.docx Supporting Statement A
Emergency PRA Letter - Signed.pdf Supplementary Document
REQUEST FOR A RELIGIOUS ACCOMMODATION TO THE COVID-19 VACCINATION REQUIREMENT Form and Instruction
REQUEST FOR A MEDICAL EXCEPTION TO THE COVID-19 VACCINATION REQUIREMENT Form and Instruction