Covid-19 Vaccine
Exception Request
 

What is a Covid Vaccine Exemption?

You may request an exemption from the requirement of a Covid-19 vaccine as prescribed by law.  Once you have requested the exemption, the employer may offer you an "accommodation' whereby your position may change with new duties that will not require the vaccine.  If no accommodation is available, or if you refuse the accommodation, your employment may continue until such a time where you must then be fully vaccinated, or be on schedule to be fully vaccinated. F2OnSite will make every effort to accomodate individuals who request accomodation through exemption. 

 

What information do we need?

This form will give you the opportunity to submit the appropriate information to gain your exemption and accommodation.  You will also have an opportunity to appeal to senior management if you choose to do so if you are denied an exemption or if an accommodation is not feasible. 

 

NOTE: This form shall be submitted to F2OnSite Human Resources and your request will not be disclosed to your manager or any customer, unless it is approved and the next step in the process begins. If approved, the next step will be determining if an accomodation can be made for you by F2onSite or it's customer. 

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I am requesting an exemption from the required Covid-19 vaccine requirements due to the following: *
 




I certify that the information herein is true and correct, and that any uploaded documents are real and correct copies. By signing below, you certify that your beliefs are sincere and true. You also understand any fraudulent documents uploaded will be subject to disciplinary action. *
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