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CLEAR FORM Rev. 1/14/2022Fall 20___ Spring 20___UNIVERSITY Summer 20___of HAWAII\'ISYSTEMRequest for Temporary Medical Exemption from COVID-19 Testing (For Unvaccinated Students) In order to be eligible
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How to fill out request for temporary medical

01
Fill out the personal information section with your name, address, and contact details.
02
Provide information on your medical condition and the reason for requesting temporary medical assistance.
03
Include any relevant medical documentation or reports to support your request.
04
Specify the duration for which you are requesting temporary medical assistance.
05
Submit the completed request form to the appropriate medical authority or organization.

Who needs request for temporary medical?

01
Individuals who are experiencing a temporary medical condition that requires assistance or accommodations.
02
Patients who require temporary medical leave from work or school due to health reasons.
03
People who need temporary medical equipment or supplies to aid in their recovery or treatment.
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Request for temporary medical is a formal document submitted to request time off from work for medical purposes.
Any employee who needs time off for medical reasons is required to file a request for temporary medical.
To fill out a request for temporary medical, the employee must provide their personal information, the reason for the leave, the requested dates, and any supporting documentation.
The purpose of a request for temporary medical is to officially request time off from work for medical reasons and to ensure proper documentation and approval.
The request for temporary medical must include personal information, medical reason for leave, requested dates, and any supporting documentation such as doctor's notes.
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