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Insert PDF Logo Here Please return the completed form with check, Type the Name of your Credit Union here and any attachments, to credit union/case popular. Direct Transfer-In Part I Annuitant/Holder

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What is influenza vaccine medical exemption?

Influenza vaccine medical exemption is a document or form that allows individuals to be excused from receiving the influenza vaccine for specific medical reasons.

Who is required to file influenza vaccine medical exemption?

Individuals who are unable to receive the influenza vaccine due to medical reasons are required to file an influenza vaccine medical exemption.

How to fill out influenza vaccine medical exemption?

To fill out an influenza vaccine medical exemption, individuals need to provide their personal information, medical reasons for exemption, and any supporting documentation from a healthcare provider.

What is the purpose of influenza vaccine medical exemption?

The purpose of influenza vaccine medical exemption is to provide individuals with medical reasons an opportunity to be excused from receiving the influenza vaccine.

What information must be reported on influenza vaccine medical exemption?

The information that must be reported on influenza vaccine medical exemption includes personal information, medical reasons for exemption, and supporting documentation.

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