Covid Mandate Name* Telephone Number* Your email* Address* What type of exemption are you seeking?* ReligiousMedicalboth Is your entity a college/university or your employer/contractor?* College/UniversityEmployer/Contractor If religious, please state your sincerely held religious belief in your own words. Are you seeking an exemption from the COVID-19 vaccines?*YesNo Are you seeking an exemption from regular PCR testing?*YesNo Are you seeking an exemption from masks?*YesNo Please provide your entity's anti-discrimination policy/statement. Please provide your entity's applicable mandate policy(ies) including policy on obtaining exemptions.
