Please download and use any of the documents below for vaccine exemptions.

Freedom Believers Vaccine Exemption Presentation

Is Your Employer Attempting To Mandate Vaccines

Vaccine Religious Exemption Letter Sample

Vaccine Exemption – Staroobriadcheskaya Tserkov

Vaccine Exemption – Church of The Holy Ascension

Religious Exemption for College & Work (Adult)

Religious Exemption for Kids in School

OHA Form for Healthcare Workers

The OHA form is for healthcare workers, most workplaces will have their own forms/way of submitting exemptions. The informed consent questions are optional, but we heard from the doctor that put them together that when people submitted these questions to their employers, they would get a “your exemption request was approved” response, even though they haven’t submitted one yet.


If your exemption request gets denied please contact Antanida Basargin at so we can help you with the process.