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2024 2025 FLU SHOT CAMPAIGN RELIGIOUS DECLINATION FOR FLU VACCINATIONIn accordance with all applicable federal and state laws, TriHealth prohibits discrimination based on religion. TriHealth provides
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Obtain the 20242025-flu-religious-declination-form from your employer or school.
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Read the instructions carefully before filling out the form.
03
Provide your personal information, including your name, address, and contact information.
04
Clearly state your religious beliefs that guide your decision to decline the flu vaccination.
05
Sign and date the form to certify that the information provided is accurate.
06
Submit the completed form to the designated department or individual as instructed.

Who needs 20242025-flu-religious-declination-form?

01
Individuals who wish to decline the flu vaccination for religious reasons.
02
Employees of organizations requiring proof of vaccination.
03
Students in schools or programs where flu vaccinations are mandated.
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The 20242025-flu-religious-declination-form is a document that allows individuals to formally decline a flu vaccination on the grounds of religious beliefs for the years 2024-2025.
Individuals who are mandated to receive the flu vaccination, but wish to opt out for religious reasons, are required to file the 20242025-flu-religious-declination-form.
To fill out the 20242025-flu-religious-declination-form, individuals must provide their personal details, specify their religious beliefs, and sign the form to confirm their declination of the vaccine.
The purpose of the 20242025-flu-religious-declination-form is to provide a legal means for individuals to refuse the flu vaccine based on their sincerely held religious beliefs.
The form must include the individual's name, contact information, a statement of their religious beliefs opposing the vaccination, and their signature attesting to the validity of their claim.
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