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  1. This pdf is a template for you to use to submit a medical, legal, religious and U.S. Constitutional exemption to your employer or educational institution.

 

This pdf is free for you to use to submit an exemption request to your place of employment or educational institution.

Merely download and fill in the areas in BOLD FONT with your own information.

Make certain you are satisfied with the document you are submitting.

As always this is not us providing you with medical or legal advise, opinion, or anything that might be considered a service. Because God forbid we would actually do that.

© 2021 by Richard M. Fleming, PhD, MD, JD  All rights reserved. 

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