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Clinton School District Face Covering Exemption Application Students Name:___ Grade Level:___Medical or psychological reason why exemption is requested: ___ ___ ___ ___ Alternatives you have tried
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How to fill out face mask accommodation form

01
Obtain the face mask accommodation form from the appropriate source, such as your workplace HR department or healthcare provider.
02
Fill out your personal information, including name, contact information, and any relevant medical history.
03
Explain your reason for needing a face mask accommodation, such as a medical condition or disability.
04
Provide any supporting documentation or medical notes from your healthcare provider, if required.
05
Submit the completed form to the designated individual or department for review and approval.

Who needs face mask accommodation form?

01
Individuals who have a medical condition or disability that prevents them from wearing a face mask may need to fill out a face mask accommodation form.
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The face mask accommodation form is a document that individuals can use to request an exemption or modification to face mask requirements.
Individuals who have a medical condition or disability that prevents them from wearing a face mask are required to file a face mask accommodation form.
To fill out a face mask accommodation form, individuals must provide their personal information, details of their medical condition or disability, and any supporting documentation from a medical professional.
The purpose of the face mask accommodation form is to request an exemption or modification to face mask requirements based on a medical condition or disability.
Information such as personal details, medical condition or disability, and supporting documentation from a medical professional must be reported on the face mask accommodation form.
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