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EMPLOYEE REQUEST FOR MEDICAL EXEMPTION FROM MANDATORY COVID-19 VACCINATION POLICY Case Western Reserve University (CW RU) is committed to providing all employees with equal employment opportunities,

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How to fill out final vaccine medical accommodation

01

Obtain a copy of the final vaccine medical accommodation form from your healthcare provider or employer.

02

Fill out your personal information accurately, including your name, date of birth, and contact information.

03

Provide details about your vaccination history, including the type of vaccine you received and the dates of administration.

04

Include any relevant medical information or reasons why you are seeking a medical accommodation.

05

Sign and date the form, and submit it to the appropriate party as instructed.

Who needs final vaccine medical accommodation?

01

Individuals who have medical conditions or concerns that may prevent them from receiving the final dose of a vaccine may need a medical accommodation.

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What is final vaccine medical accommodation?

Final vaccine medical accommodation refers to the formal process by which individuals may seek exemptions or modifications to vaccination requirements for medical reasons, typically involving documentation from a healthcare provider.

Who is required to file final vaccine medical accommodation?

Individuals who cannot receive a vaccine due to medical contraindications or underlying health conditions are required to file for final vaccine medical accommodations.

How to fill out final vaccine medical accommodation?

To fill out a final vaccine medical accommodation, individuals must complete designated forms provided by the relevant authority, including personal information, medical justification, and signatures from healthcare professionals.

What is the purpose of final vaccine medical accommodation?

The purpose of final vaccine medical accommodation is to ensure that individuals with valid medical reasons are able to opt-out of vaccination mandates while maintaining their rights and access to services.

What information must be reported on final vaccine medical accommodation?

Information that must be reported includes the individual's personal details, the nature of the medical condition, the healthcare provider's recommendations, and any supporting documentation.

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