Filing Medical & Religious Exemptions

Disclaimer Clause: The contents do not constitute legal advice, are not intended to be a substitute for legal advice and should not be relied upon as such. You should seek legal advice or other professional advice in relations to any particular matters you or your organization may have.

We urge everyone to check out http://www.ConstitutionalLawGroup.Us and http://www.NJStandsup.org, ChildrensHealthDefense.org, http://www.TheHealthyAmerican.org, and many other online sites for forms, case laws, and other information.

Index of Topics:

1. Laws: New Jersey

The New Jersey Law Against Discrimination prohibits employers from mandating anything that would require an employee to violate or forego a sincerely-held religious belief. On March 19, 2021, the Official State of New Jersey website provided clarification on the Law Against Discrimination as it relates to COVID-19, stating that “[a]n employer can require that an employee receive the COVID-19 vaccine in order to return to the workplace, unless the employee cannot get the vaccine because of a disability, because their doctor has advised them not to get the vaccine while pregnant or breastfeeding, or because of a sincerely held religious belief, practice or observance. . . . [I]f there is no reasonable accommodation that your employer can provide that would mitigate the risk of COVID-19 transmission to its employees and customers, then your employer can enforce its policy of excluding unvaccinated employees from the physical workplace, even if you are unvaccinated because of a disability, pregnancy or breastfeeding or a sincerely held religious belief.” Examples of reasonable accommodations include allowing unvaccinated employees to work remotely or providing them with personal protective equipment to mitigate the risk of COVID-19 transmission and exposure.

Laws: New York

Under New York Public Health Law, there are currently no non-medical exemptions from vaccination requirements for children. On January 31, 2019, the state legislature repealed the exemption for those with religious beliefs against vaccination, still allowing for medical exemptions to immunization.

2. General Overview: Frequently Asked Questions!

A) Can the government legally mandate vaccines, tests, and masks as EUA or if FDA approved?
The Answer technically is- No! Under Federal Law: 21 U.S.C. §360bbb-3 it’s illegal to mandate any EUA products. This includes face masks, PCR Tests, and the Covid vaccine for those under 16. The purpose of Federal Law: 21 U.S.C. §360bbb-3 is to prevent human beings from being used as guinea pigs without their consent.  Under 21 U.S.C. § 360bbb-3, “Authorization is for medical products for use in emergencies”, States may not mandate the vaccines, and private entities do so at the peril of violating federal law.

 (ii) Appropriate conditions designed to ensure that individuals to whom the product is administered are informed —

     (I) that the Secretary [of Health & Human Services] has authorized the emergency use of the product;     (II) of the significant known and potential benefits and risks of such use, and of the extent to which such benefits and risks are unknown; and    (III) of the option to accept or refuse administration of the product, of the consequences, if any, of refusing administration of the product, and of the alternatives to the product that are available and   of their benefits and risks.

Under federal preemption doctrine, this federal EUA law trumps state law, meaning that states and municipalities may not mandate EUA products; including EUA vaccines or EUA tests for COVID infection. States cannot override federal law or set up their own mandatory scheme.

Currently the Pfizer Covid Comirnaty Vaccine has been approved for those 16 and older, although clinical trial will not end til 2025. What does this mean? It means the FDA unconscionably approved a drug where they

Even if FDA approved, such as the Pfzier Commitey vaccine  it’s illegal according to the Nuremberg Code to mandate any medical procedures without consent.

But the Federal, State, local government and private businesses are all breaking the law. Yes, it’s true they are breaking their own laws. Childhood vaccinations are a perfect example. Currently in NY State, schoolchildren under 18 years of age can be mandated to take FDA approved vaccines and other FDA approved products, which violates the Nuremberg Code. The only exemptions allowed being medical, which is nearly impossible to get. NJ, children can still get religious & medical exemptions by law. But, Big Pharma is giving away millions lobbying (aka bribing) politicians to reverse that.

However, the simple question is: who owns your body? Your employer, the government, or You?

Only you can say NO! Only you can join with others to say NO! Whether other parents, neighbors, or co-workers! If the government can pass mandatory vaccines, what stops the government from requiring women to have hysterectomies to stop “overpopulation or elderly people being euthanized or denied medical care because they are seen as useless eaters. These types of medical interventions will soon be next if people don’t stop complying. Already, many states like NY are discussing instituting biometrics and microchipping of schoolchildren by 2022. You have to fight against this medical tyranny and now.

B) Do I need to Belong to Any Organized Religion? To seek a religious exemption: You do not need to belong to an organized religion. The Civil Rights Act of 1964 (“Title VII”) broadly defines “[t]he term ‘religion’ [as] all aspects of religious observance and practice, as well as belief.” See also: .” 42 U.S.C. § 2000e(j) as well as United States v Seeger, 380 U.S. 163, 184, (1965).  The law does not require you to belong to any organized religion, church, temple, etc.  You need to clearly explain why the mask, testing, and/or vaccine violate your religious belief. You need to say exactly why you can’t participate in these actions. Never emphasize the science, politics, or that you don’t believe there is a pandemic. It may be true but it is not grounds for a religious exemption. Never say more than you need or they will try to use it against you.

C) Will a Letter from a spiritual advisor such as a pastor or priest help me get an exemption? It should, but there’s no guarantee it will. As we’ve seen everything employers and the government are doing is illegal. However, providing such a letter although not necessary is very helpful.

D) I do not believe in God. I am a Buddhist or Atheist. Can I still get a Religious Exemption? Yes, in Welsh v United States, the Court clarified that religion does not require belief in God or divine beings. Instead, the Court found that nontheistic beliefs could also be religious within the meaning of Title VII as long as the belief  “occup[ies] in the life of that individual ‘a place parallel to that filled by God’ in traditionally religious persons.” 398 U.S. 333, 340 (1970).

E) I took the Flu Vaccine and/or Covid shots at work or school. Can I still apply for a religious exemption for the Boosters? Yes, you can, but it will be harder for you to prove your demand for an exemption. You will be required to explain why you had a sudden change of feeling or explain you felt coerced and now you realize you cannot ethically continue to contradict your religious feelings.

F) My employer says it’s too late to file a religious exemption. Absolutely false. You can file anytime. People can change religion, convert, or leave their religion. So make sure to file.

G) Can my employer/school/government deny my religious exemption?
Legally, NO! And if they do so, ask on what ground you were rejected and file an appeal. When appealing make sure your appeal is notarized and send by registered mail in order to be used in a legal court of law. If you’re appeal is denied, file a complaint with the NY (NJ) Division on Civil Rights, the EEOC, or file a lawsuit with the courts.  

H) Can I get fired if I don’t get the jab?
They can fire you, but it would be unlawful termination based upon religious discrimination. That is why we recommend having everything documented so you can file a complaint with the EEOC and/or file a lawsuit.

I) Can they put me on unpaid leave if I don’t get the jab?
If they do, it is considered “retaliation” and a violation of Title VII of the Civil Rights Act.

J) What is a reasonable accommodation?
By law, the company or school must provide a reasonable accommodation if possible. A reasonable religious accommodation is any adjustment to the work environment that will allow the employee to comply with the religious belief but that does not cause undue hardship for the employer. Under Title VII (42 U.S.C. § 2000e-2(a)(1)), it requires employers to adhere to certain employment standards and makes it unlawful for an employer to discharge an individual based upon that person’s religious beliefs or practices. Title VII requires that the employer “make reasonable accommodation for the religious observances of its employees, short of incurring an undue hardship.” EEOC v Firestone Fibers & Textiles Co., 515 F.3d 307, 312 (4th Cir. 2008); 42 U.S.C. § 2000e(j).  The accommodation requirement is “plainly intended to relieve individuals of the burden of choosing between their jobs and their religious convictions, where such relief will not unduly burden others.” Protos v Volkswagen of Am., Inc., 797 F.2d 129, 136 (3d Cir. 1986). Title VII requires only reasonable accommodation, not “satisfaction of an employee’s every desire.” Rodriguez v City of Chicago156 F.3d 771, 776 (7th Cir. 1998).  A reasonable accommodation can include different job assignments or duties, such as working from home. But, it cannot be a such hardship for you, such as less pay, less hours, or horrible conditions. If so, you have a lawsuit on your hands, for religious discrimination and retaliation.

Keep in mind however that an employer may use “undue hardship” defense for failure to provide accommodation.  This defense requires a showing that the proposed accommodation in a particular case poses a material cost or burden. An employer cannot for example provide a more favorable accommodation to other employees for non-religious purposes. As for example seen in EEOC v Memorial Healthcare, No. 2:18-cv-10523 (E.D. Mich. Feb. 13, 2018), where  Memorial Hospital treated a employee’s request for religious accommodation to wear a mask rather than receive a flu vaccine differently than the same request made by employees for medical reasons.

K) They said I have to get the vax because it would be a hardship if I didn’t & a threat to the safety & health of others.
They have to prove it with evidence such as a court order based on a sworn testimony from a licensed medical doctor. Otherwise it’s invalid. It’s like saying your company won’t hire black people, because they tend to unionize and the company is against unions. Remember during the AIDs crisis, there were lawsuits dealing with discrimination. In those cases, the courts sided with those who had AIDs that there was no place for medical apartheid. Everyday, people are infected with flu, TB, etc. Is anyone discriminating against them?

L) I work in a hospital/doctor’s office and they said there are no exemptions.
Exemptions are required by law. Request a reasonable accommodation. Ultimately, It’s time for healthcare workers to band together!

M) My boss said it’s an OSHA law or health dept order.
Neither the health dept. nor OSHA make law. They create regulations based on laws passed by the legislature. OSHA has no enforcement authority over you, only over your employer. And your employer is required to accommodate your religious exemption.

N) They told me it’s a federal law.
There is no federal law for vaccines, masks or tests. Neither the CDC, FDA, OSHA, or President can make a law. Only Congress makes law. And there is no law for requiring masks, tests or vaccines. Executive orders are only for the executive branch of government and even then, religious exemptions are required to be accommodated.

O) Am I entitled to compensation if I am harmed by a mandated vaccine at work? Maybe. A vaccine-related injury sustained from an employer-mandated vaccine may qualify for a “work-related injury” pursuant to workers’ compensation laws. Employees of AT&T injured from their flu drive successfully sued for compensation due to permanent, disabling injuries.  As of the moment there are no workers’ compensation cases concerning Covid-19 injuries. The Covid-19 vaccines are still experimental and clinical trials are not expected to end until 2023. In fact, you may ask yourself if your job is worth permanent disability or death from a experimental vaccine.

P) Can I get compensation for any harm done to me or my children caused by a mandated vaccine? Possible, but the odds are against you. Although the US Supreme Court acknowledged that vaccines are: “unavoidably unsafe”12 as they contain toxic substances such as:  aluminum, formaldehyde, Thimerosal (ethy-mercury), & even aborted human fetal cells; Congress, instead of banning vaccines in 1986 passed The National Childhood Vaccine Injury Act (NCVIA). This act gave vaccine manufacturers full immunity from prosecution & liability; even in cases of death. In exchange, Congress created the Vaccine Injury Compensation Program (the “VICP”), a federal program paid for by taxpayer money to  compensate individuals or parents of those vaccine injured or killed with specific injuries or death caused by certain vaccinations. The VICP compensates for pain and suffering, past and future lost wages, and medical expenses.  However, only about 33% of VICP claims receive compensation. The process is very arduous, time consuming, and expensive. Currently, COVID-19 vaccines are not compensated through the VICP.

3. Medical Exemptions and Appeals

By Law, employers and schools must allow medical exemptions. Keep in mind: It’s difficult to get a medical exemption. Some may write an exemption letter over the question of the mask; particularly for your children especially if they have asthma and/or other respiratory issues. However, Few if Any Medical doctors will write you an exemption letter for the vaccine. In order to apply, You will need to prove your medical condition and how this prevents you from wearing a masks, taking any invasive tests, or any vaccines. You must provide a doctor’s letter with appropriate documentation.

It is preferable to file a Religious Exemption, but if you have already filed a medical exemption and are rejected, ask on what grounds and what you will need to get your exemption. See Exhibit  A. Then refile with whatever reasonable proof they ask. When refilling, make sure to attach to your medical documentation a short letter which must be notarized and sent by registered mail.  See Exhibit B. If you haven’t yet, you should file a religious exemption.

If you are rejected again as well as denied a religious exemption: You may wish to hire an attorney or file a complaint with the ADA (Americans with Disability Administration) and NY State Division on Civil Rights or EEOC for discrimination.

To file a complaint with the ADA go online at: https://www.ada.gov    or call: 800-514-0301

To file a complaint with the NY Division on Civil Rights: https://dhr.ny.gov/       or call: 1-888-392-3644

To file a complaint with the NJ Division on Civil Rights: https://www.njoag.gov/about/divisions-and-offices/division-on-civil-rights-home/ Or call: 833-653-2748

To file a complaint with the EEOC: Go to: https://publicportal.eeoc.gov/ to schedule an intake appointment by telephone. If you are near a filing deadline (at least 180 days but generally 300 days), you can call 1-800-669-4000. Individuals who are Deaf and Hard of Hearing, can reach EEOC by videophone at 1-844-234-5122. Or if you have a disability or difficulty accessing the portal, you may call 1-800-669-4000.

(Please keep in mind all Sample Letters are there to provide a potential guideline. Please change and edit to fit your specific need. They are not to be construed as legal advice or to be used in lieu of legal advice from a legal attorney. We take no responsibility for the results. Use at your discretion.)

Exhibit A :

Sample Letter 1

DATE

To: (insert employers name)

       (insert employers address

       (insert employers city, state, zip)

Dear whom it may concern:

My name is ____________. My job title is __________ . I work in the ______dept. at ________place of business. I just received a letter denying my medical exception. Can you please explain on what grounds you have rejected my medical exemption and what specific documentation I need to provide in order for it to be approved? Thank you.

_______________________________

Signature

Your Name Printed

Sample Letter 2

DATE

To: (insert employers name)

       (insert employers address

       (insert employers city, state, zip)

Dear whom it may concern:

My name is ____________. My job title is __________ . I work in the ______dept. at ________place of business. I just received a letter denying my medical exception concerning the face mask. As my medical records show and physician noted, I cannot wear a mask due to COPD and Asthma. Can you please explain on what grounds you have rejected my medical exemption (and/or reasonable accommodation) and what I specifically need to provide in order for it to be approved? Thank you.

_______________________________

Signature

(Print Name Here)

Sample Letter 3

DATE

To: (insert employers name)

       (insert employers address)

       (insert employers city, state, zip)

Dear whom it may concern:

My name is ____________. My job title is __________ . I work in the ______dept. at ________place of business. I just received a letter denying my medical exception concerning the Covid-19 vaccine. As my medical records show and my physician letter explains , I nearly died from anaphylaxis after receiving my last flu shot. Can you please explain on what grounds you have rejected my medical exemption and what I specifically need to provide in order for it to be approved? Thank you.

_______________________________

Signature

Your Name Printed

Sample Letter 4

Don’t let any employer attempt to bully or coerce you to provide confidential information. They cannot demand you provide documentation for something you are not basing your medical exemption on. 

DATE

To: (insert employers name)

       (insert employers address)

       (insert employers city, state, zip)

Dear whom it may concern:

My name is ____________. I work in the ______. My job title is ________.. I just received a letter requesting I provide health records pertaining to STDs (sexually transmitted diseases), prior pregnancies, miscarriages, and/or any abortions I may have had in order to be considered for a medical exemption. I categorically refuse to provide such documentation. It is irrelevant and immaterial. The health condition that prevents me from wearing a face mask at work is COPD/Asthma. It has nothing to do with any sexually transmitted disease or any reproductive situation. I am assuming this request is an error on your part.   

Thank you.

_______________________________

Signature

Your Name Printed

Exhibit B

Sample Appeal Letter 1

When filing an appeal, make sure you notarize the letter below and send by registered mail.  

AFFIDAVIT

DATE

To: (insert employers name)

       (insert employers address)

       (insert employers city, state, zip)

Dear whom it may concern:

My name is ____________. My job title is __________ . I work in the ______dept. at ________place of business. .

 I, _______, have enclosed the additional information requested by your office to reaffirm that my medical condition(s) ________makes me unable to take the Covid-19 vaccine. Since I have provided the additional documents required, you should grant me the medical exemption I am entitled to by law.  

I, _________(your name) certify under Penalty of Perjury and the laws of the State of New York that the foregoing affidavit is a true, accurate, and correct statement concerning my faith and religious beliefs.

_______________________________

Signature of Affiant

Your Name Printed

 ACKNOWLEDGMENT

state of ________________________ county of _________________ On this _______ day of ______________, 20___, before me personally appeared _________________________, to me known to be the person described in and who executed the foregoing instrument and acknowledged that he executed the same as his free act and deed, for the purposes therein set forth.

  _______________________________________

  (Notary Public)

My Commission Expires ______________________________, 20___

Sample Appeal Letter 2

When filing an appeal, make sure you notarize the letter below and send by registered mail.  

AFFIDAVIT

DATE

To: (insert employers name)

       (insert employers address)

       (insert employers city, state, zip)

My name is ____________. My job title is __________ . I work in the ______dept. at ________place of business. .

 I, _______, affirm that my medical condition(s) ________makes me unable to take the Covid-19 vaccine. I have enclosed sufficient documentation to prove I am entitled to a medical exemption. By law, you must allow a medical exemption.

I, _________(your name) certify under Penalty of Perjury and the laws of the State of New York that the foregoing affidavit is a true, accurate, and correct statement concerning my faith and religious beliefs.

_______________________________

Signature of Affiant

Your Name Printed

 ACKNOWLEDGMENT

state of ________________________    county of _________________:

On this _______ day of ______________, 20___, before me personally appeared _________________________, to me known to be the person described in and who executed the foregoing instrument and acknowledged that he executed the same as his free act and deed, for the purposes therein set forth.

       _______________________________________

      (Notary Public)

My Commission Expires ______________________________, 20___

Sample Appeal Letter 3

When filing an appeal, make sure you notarize the letter below and send by registered mail.

AFFIDAVIT

DATE

To: (insert employers name)

       (insert employers address)

       (insert employers city, state, zip)

Dear whom it may concern:

My name is ____________. I am a _______(job title). I work at ______ at ________place of business.

 I, _______, have provided more than enough evidence that I am disabled and cannot wear a mask. I have enclosed a letter from my medical doctor diagnosing me with COPD, Asthma, and hypoxemia along with pertinent medical records proving my medical condition. I have even sent a letter requested exactly what documentation your office needed, but received no reply. I am appealing your decision to deny my exemption. By law you must provide me with a medical exemption or reasonable accommodation if I can prove my medical condition.

I, _________(your name) certify under Penalty of Perjury and the laws of the State of New York that the foregoing affidavit is a true, accurate, and correct statement concerning my faith and religious beliefs.

_______________________________

Signature of Affiant

Your Name Printed

 ACKNOWLEDGMENT

state of ________________________ county of _________________:

On this _______ day of ______________, 20___, before me personally appeared __________________________, to me known to be the person described in and who executed the foregoing instrument and acknowledged that he executed the same as his free act and deed, for the purposes therein set forth.

       _______________________________________

      (Notary Public)

My Commission Expires ______________________________, 20___

4. Case Laws & Sample Letters for Religious Exemptions

We urge everyone to check out http://www.ConstitutionalLawGroup.Us and http://www.NJStandsup.org, ChildrensHealthDefense.org, and http://www.TheHealthyAmerican.org for forms, case laws, and other information.

Taken From NJ StandsUp Website, but applicable in any state.

First Amendment of the US Constitution

The purpose of this guide is to aid you in writing a statement that explain to your school or employers that you are  exempt from any immunizations and medical testing procedures because of your genuine and sincere personal religious beliefs which are inconsistent with these medical procedures & experimentation. The First Amendment of the US Constitution guarantees that you are able to exercise your rights to follow, and adhere to, the religious tenets and practices of your faith. It is the Law – Religious Freedom without Discrimination

Applicable law has been interpreted to mean that a religious belief is subject to protection even though no religious group espouses such beliefs or the fact that the religious group to which the individual professes to belong may not advocate or require such belief. Title VII of the Civil Rights Act of 1964 as amended Nov. 1, 1980; Part 1605.1-Guidelines on Discrimination Because of Religion.  On the U.S. Supreme Court level in Frazee V. Illinois Dept. of Security, 489 U.S. 829, it was found that a state may not deny an exemption simply because a person is not a member of a formal religious organization. 

            Some Important Pointers:

  1. Do not mention a specific vaccine in your letter – ONLY speak to your faith
  2. DO NOT submit via employer forms that make your agree to discrimination or manipulate your words about your faith and your reasons for exemption.
  3. Saving Grace for Later – If you are forced by a form to agree to vague restrictions that are yet to be determined, then you will later have a case against those restrictions because you agreed to them under duress.  
  4. Have your letters notarized in case you need to file a complaint or a future lawsuit
  5. Keep records of all communication with your employer. Take screen shots of the form you sent, if you cannot print.
  6. Send the notice to multiple departments at your institution.
  7. Send these by registered mail to keep as a record

Laws: New York

Under New York Public Health Law, there are currently no non-medical exemptions from vaccination requirements for children. On January 31, 2019, the state legislature repealed the exemption for those with religious beliefs against vaccination, still allowing for medical exemptions to immunization.

Religious Exemptions : Who May Qualify?

The State of NY provides religious exemptions to all residents over age 18. Religious exemptions can be used for masks, Invasive PCR Tests, and Vaccines; including the Covid-19 vaccine. This includes FDA approved products.

The First Amendment of the US Constitution guarantees that you are able to exercise your rights to follow, and adhere to, the religious tenets and practices of your faith. Never use an electronic form provided by your school or employer, if possible. If you’re sending something electronically, please print. If you cannot, take a screen shot or picture with your cellphone. When submitting a letter by mail, make sure it’s sent by registered mail. Enclosed are 2 sample letters. They are only to be used as a model. Do not copy word for word. Mix & match as necessary. The 2nd letter contains an affidavit. If you are appealing this must be included word for word starting with: I, _________(your name) certify under penalty of perjury.

No Employer, business, or school is allowed to deny you religious exemptions or discriminate against you for requesting them by law. But as you’ll soon see, Big Corporations along with City, State, and Federal  governments and governmental agencies are all breaking their own laws.

The easiest exemption to get is for children; especially in NJ. Unlike NY State, NJ still allows exemptions for childhood vaccines. The reason is quite self-evident. School districts receive money based on enrollment. Plus, school is a great place to indoctrinate your children.

As to employers: We are in Great Depression II. Their desire is to make it as difficult as possible for employees to stay so they don’t have to fire staff. The fact is they want 50% to 75% of you to go. Regardless of whether you take the vaccine or follow all the protocols or not, you will likely be fired in order to streamline their profits. Therefore many employers and schools may deny your initial request, so make sure to submit an appeal. Better yet appeal with the requests of hundreds of your co-workers. When submitting the appeal, make sure to have it notarized and sent by registered mail. Although you do not need to be a member of a congregation, if you are a member, you should get a letter from said priest, minister, or rabbi. If you looking for a congregation who is anti-vax, you may want to look into joining the Congregation of Universal Wisdom at http://www.cuwisdom.org. Once a member for a small donation, they will provide you with a letter. If your request for a religious exemption is rejected, I highly recommend hiring an attorney if you can afford to do so or file a legal complaint with the NY State Division of Civil Rights or EEOC.

Of course the most important thing is to organize with fellow co-workers, business owners, parents, and/or neighbors. Medical & Religious exemptions and even complaints to government agencies like the EEOC can easily be discarded. Going from their hands straight to the garage bin. Only organizing and threatening their peace with protests and occupying their offices will make a difference. 

Here’s an interesting news article:

THE J & J VACCINE CONTAINS ABORTED HUMAN FETAL CELL LINES The viral vector that forms the backbone of the J&J vaccine is grown in a continuous (“immortalized”) human embryonic cell line (PER.C6) derived from the abortion of a healthy 18-week-old fetus, leading some Catholic leaders to describe the vaccine as “morally compromised.” FDA officials have acknowledged for over two decades that such cell lines are a “major safety concern.”

While the MODERNA and PFIZER Vaccines do not contain fetal line cells, both vaccines used fetal cell lines from an aborted fetus to test their vaccines; making these vaccine equally immoral if you consider abortion a sin.

From ReligiousNews.com: “New Orleans archdiocese urges Catholics to avoid new Johnson & Johnson vaccine”

The Following Letter sample is taken from NJStandsUp.org website.

Although we provide examples of short forms, they usually only work for school children and therefore we don’t recommend using it for employment-related purposes.

5) Sample Religious Exemption Letters

A) Letter against Vaccinations: School (Short Form)

AFFIDAVIT

DATE

To: (insert employers name)

       (insert employers address)

       (insert employers city, state, zip)

Dear whom it may concern:

My name is ____________. I am the parent of ________.  I solemnly affirm:

Being a person of Strong Religious Morals, it is against my Deep, Sincerely Held, Religious Convictions to accept the injection of any foreign substance into my Body or those of my child(ren). This includes, but is not limited to, any and all, Vaccinations, Shots, Oral Vaccines, Epidermal Patches and in any other way that Live or Killed Bacterium, Viruses, Pathogens, Germs, or any other Microorganisms, may be introduced into or upon my body or that of my child(ren).

This written statement shall exempt me from any immunizations because I hold genuine and sincere personal religious beliefs which are inconsistent with these medical procedures & experimentation. The practice of vaccination and the injection or application of any foreign substance is contrary to my conscientiously held religious beliefs and practices and violates the free exercise of my religious principles.

A conflict arises because my religious convictions are predicated on the belief that all life is sacred. God’s commandment “Thou Shall Not Kill” applies to the practice of injection of carcinogenic substances that can kill.

I am exercising my rights to follow, and adhere to, the religious tenets and practices guaranteed within the First Amendment of the US Constitution, to receive Religious Exemption from Vaccination, ALL injections, & testing.

The Lord, Our Creator is the only source of protection of my body that I can accept.

I affirm that vaccination & injections of any foreign substances and proteins conflict with my religious beliefs as stated above. Therefore, I expect that you will not discriminate or treat me differently for my religious beliefs and practices by recognizing that I am exempt from any vaccinations, injections, and testing of any kind. I am not to be segregated or treated differently for my faith, since doing so would interfere with the free exercise of my religious rights.

Rest assured that I do practice a form of immunization that keeps my immune systems strong and is in keeping with Divine principles.

I certify under Penalty of Perjury and the laws of the State of New Jersey that the foregoing affidavit is a true, accurate, and correct statement concerning my faith and religious beliefs.

Further Affiant sayeth naught.

_______________________________

Signature of Affiant

B) Sample Letter against Vaccinations: Employment (Short Form 2)

AFFIDAVIT

To: (insert employers name)

       (insert employers address

       (insert employers city, state, zip)

My name is (insert name). I work at (dept) as a (job title).  I request a Personal Religious Exemption to Any and All Vaccines Based on the New Testament

I hereby assert my right to a religious exemption from vaccination. I am a Christian who believes in the Bible, including the teachings in the New Testament.

I am refusing the Covid-19 vaccines because I believe in and follow God and the principles laid out in His Word and I have a deeply held belief that vaccines violate His Word/The Bible.

I sincerely believe that all human beings are image bearers of God, and this concept affirms the unique value of all human life. Mindful of the Sixth Commandment “You shall not murder” (Ex. 20:13), I believe that abortion is gravely wrong at every stage. Furthermore, I believe a physical body is given to each of us by our loving Heavenly Father. He created it as a tabernacle for our spirit to assist each of us in our quest to fulfill the full measure of our creation. Specifically, the New Testament teaches that: “Don’t you know that you yourselves are God’s temple and that God’s Spirit dwells in your midst?” (1 Corinthians 3:16) “If anyone destroys God’s temple, God will destroy that person; for God’s temple is sacred, and you together are that temple” (1 Corinthians 3:17).

The Pfizer and Moderna COVID-19 vaccines in early development of mRNA vaccine technology used fetal cells for “proof of concept” (to demonstrate how a cell could take up mRNA and produce the SARS-CoV-2 spike protein) or to characterize the SARS-CoV-2 spike protein. The non-replicating viral vector vaccine produced by Johnson & Johnson required the use of fetal cell cultures, specifically PER.CG, in order to produce and manufacture the vaccine.

This mechanism for altering my God given body is the equivalent of a prohibited “unclean food” that causes harm to my conscience. Covid-19 vaccines to me are unclean. I believe in and follow God and the principles laid out in His Words and I have a deeply held belief that these vaccines violate them.

Further, the Vaccine manufacturers themselves have admitted that: the Vaccines do not protect people from the disease, nor does it prevent the transmission of said disease. Therefore, there is absolutely no reason for anyone to risk taking this dangerous and experimental drug/”vaccine”.  

I issue this Notice for the glory of God and consistent with my faith.

Date __________________                

Signature _____________________

You Name Printed here

  • Sample Religious Exemption Letter against Vaccinations: Employment (Long Forms). Can also be used for appeals.

Letters, especially in NY State should be 7-9 pages long. So pour your heart out. Add a letter from a priest, rabbi, or other religious leader or organization, if you can.

AFFIDAVIT

DATE

To: (insert employers name)

       (insert employers address)

       (insert employers city, state, zip)

My name is ____________. My job title is __________ . I work in the ______dept. at ________(Name of business.)

            I, _______, affirm that the immunizations required by __(Name of Business)__ are contrary to my long standing religious tenets and practices. On this basis, the referenced immunization requirements & invasive testing procedures violate my right to freely exercise my religion as guaranteed by the First Amendment of the Constitution of The United States of America, the various State Constitution, and Title VII of the Civil Rights Act of 1964 as amended Nov.1 1980; Part 1605.1- Guidelines on Discrimination Because of Religion, I am asserting my rights to a religious exemption.   

            I request that all statements expressed in this religious exemption letter remain confidential. The only reason I am sharing the contents within this letter is because by law I am required to do so. I request that this be kept 100% completely confidential as it contains thoughts, sentiments, and beliefs not expressed in casual conversation.

            I hereby declare, that being a person of Strong Religious Morals, it is against my Deep, Sincerely Held, Religious Convictions to accept the injection of any foreign substance into my Body. This includes, but is not limited to, any and all, Vaccinations, Shots, Oral Vaccines, Epidermal Patches and in any other way that Live or Killed Bacterium, Viruses, Pathogens, Germs, or any other Microorganisms, may be introduced into or upon my body.

            This written statement shall exempt me from any immunizations and medical testing procedures because I hold genuine and sincere personal religious beliefs which are inconsistent with these medical procedures. The practice of vaccination and the injection or application of any foreign substance is contrary to my conscientiously held religious beliefs and practices and violates the free exercise of my religious principles.

             A conflict arises because my religious convictions are predicated, but not limited to, the following Scriptures.

1 Corinthians 6:19-20: What? know ye not that your body is the temple of the Holy Ghost which is in you, which ye have of God, and ye are not your own? For ye are bought with a price: therefore glorify God in your body, and in your spirit, which are God’s.

            It is among my deepest convictions that I am to treat my own body as the Temple of God. I believe that I do not own my body, my body has been given to me by God. I am to own it and steward it the way God guides me to.

             It is also within my sincerest held personal beliefs that life begins at Conception. In the Bible, life begins in the womb, and for me it does. The current available vaccines are tested using aborted fetal cell lines. Other vaccines contain aborted fetal cells. It conflicts with my beliefs to make use of these products which benefit from practices which I hold to be religiously unethical.

Jeremiah 1:4  Then the word of the LORD came unto me, saying, Before I formed thee in the belly I knew thee; and before thou camest forth out of the womb I sanctified thee, and I ordained thee a prophet unto the nations.

Before Mary birthed Jesus she was “with child”. For me the child’s life begins at conception.

Matthew 1:18  Now the birth of Jesus Christ was on this wise: When as his mother Mary was espoused to Joseph, before they came together, she was found with child of the Holy Ghost.

Luke 1:41  When Elizabeth heard Mary’s greeting, the baby leaped in her womb, and Elizabeth was filled with the Holy Spirit. 

            In addition, I hold deeply that compulsory vaccine policies are inherently immoral. The Bible prohibits compulsory vaccine policies because their very notion usurps body sovereignty which is Biblically imperative and outlined in Leviticus 25:55. As a follower of the Holy Scriptures I reject any form of bodily subjugation to any human overlord irrespective of alleged benefit to oneself or ones community. As a Bible observant individual, I am obligated to reject mandatory vaccine policies imposed by any human authority or institution. To me, no human authority or policy can override the bodily sovereignty which has been endowed upon me by God. Compulsory vaccination mandates are discriminatory policies that marginalize a non vaccinated minority. The Bible strictly prohibits apartheid in Deuteronomy chapter 14:1. Consequently, even if a particular vaccine were ethically palpable and free of religiously problematic ingredients, the very fact that it is being used to sanction discriminatory policies against individuals who do not, cannot, or will not vaccinate makes it morally odious and unacceptable to Biblical law. By complying and lending one’s support to such a mandatory compulsory policy, one is effectively complicit in tyranny and discrimination prohibited by Bible law.

       Applicable law has been interpreted to mean that a religious belief is subject to protection even though no religious group espouses such beliefs or the fact that the religious group to which the individual professes to belong may not advocate or require such belief. Title VII of the Civil Rights Act of 1964 as amended Nov. 1, 1980; Part 1605.1-Guidelines on Discrimination Because of Religion.

            My legal rights are guaranteed by the free exercise clause of the First Amendment to the U.S. Constitution. Recent court decisions have upheld the rights of individuals seeking exemptions from immunizations based upon personal and religious reasons. On the U.S. Supreme Court level in Frazee V. Illinois Dept. of Security, 489 U.S. 829, it was found that a state may not deny an exemption simply because a person is not a member of a formal religious organization.

The Lord, Our Creator is the only source of protection of my body that I can accept.

            I affirm that vaccination & injections of any foreign substances and proteins conflict with my religious beliefs as stated above. Therefore, I expect that you will not discriminate or treat me differently for my religious beliefs and practices by recognizing that I am exempt from any vaccinations or injections. I am not to be segregated or treated differently for my faith, since doing so would interfere with the free exercise of my religious rights.

I, _________(your name) certify under Penalty of Perjury and the laws of the State of New York that the foregoing affidavit is a true, accurate, and correct statement concerning my faith and religious beliefs.

_______________________________

Signature of Affiant

Your Name Printed

 ACKNOWLEDGMENT

state of ________________________ county of _________________:

On this _______ day of ______________, 20___, before me personally appeared __________________________, to me known to be the person described in and who executed the foregoing instrument and acknowledged that he executed the same as his free act and deed, for the purposes therein set forth.

       _______________________________________

      (Notary Public)

My Commission Expires ______________________________, 20___

Laws

The State of NJ provides religious exemptions to all residents regardless of age. Religious exemptions can be used for masks, Invasive PCR Tests, and Vaccines; including the Covid-19 vaccine.

The State of NY provides religious exemptions only to those 18 years of age or over for FDA approved products!

No Employer, business, or school is allowed to deny you religious exemptions or discriminate against you for requesting them. Many employers and schools may deny your initial request, so make sure to submit an appeal.

The First Amendment of the US Constitution guarantees that you are able to exercise your rights to follow, and adhere to, the religious tenets and practices of your faith. Never use an electronic form provided by your school or provide. Make sure you write your own letter; notarize it if you can. If rejected, make sure to apply for an appeal and make sure the letter to appeal is notarized and send by registered mail.

Applicable law has been interpreted to mean that a religious belief is subject to protection even though no religious group espouses such beliefs or the fact that the religious group to which the individual professes to belong may not advocate or require such belief. Title VII of the Civil Rights Act of 1964 as amended Nov. 1, 1980; Part 1605.1-Guidelines on Discrimination Because of Religion.  On the U.S. Supreme Court level in Frazee V. Illinois Dept. of Security, 489 U.S. 829, it was found that a state may not deny an exemption simply because a person is not a member of a formal religious organization.

6. If you are denied an appeal or an exemption,

Step 1: Send a letter asking what they need.

Sample Letter

DATE

To: (insert employers name)

       (insert employers address)

       (insert employers city, state, zip)

Dear whom it may concern:

My name is ____________. My job title is __________ . I work in the ______dept. at ________place of business. I just received a letter denying my medical exception. Can you please explain on what grounds you have rejected my medical exemption and what specific documentation I need to provide in order for it to be approved? Thank you.

(Insert signature here)_______________________________

Your Name Printed

Step 2. If they respond and say there are no religious exemptions. Then send a letter explaining they cannot deny you your constitutional rights and threatening legal action.

Sample Letter

AFFIDAVIT

DATE

To: (insert employers name)

       (insert employers address)

       (insert employers city, state, zip)

Dear whom it may concern:

My name is ____________. My job title is __________ . I work in the ______dept. at ________place of business. I just recently received a letter stating that my religious exemption has been denied.

You institution is breaking several laws. First of all according Federal Law: 21 U.S.C. §360bbb-3, it’s illegal to mandate any EUA products, whether the mask, the PCR test, or Covid vaccines. Currently none of the Covid vaccines on the US market are FDA approved. Second forced medical procedures are against the Nuremberg Code. In addition, your refusal to allow a religious exemption violates my right to practice my religion according The US Constitution and Civil Rights Act of 1964 (“Title VII”). 

I hope that upon receiving this letter that your institution will revise its illegal stance and grant me the religious exemption I am entitled to by law. If it does, this letter will act as a notice that I will be filing complaints with the proper authorities such as the NY Division on Human Rights (NJ Division on Civil Rights or EEOC) along with pursuing this matter legally in a court of law. 

(Insert Signature here)______________

Your Name Printed

Step 3- If this does not resolve the problem!

  1. Do not resign!!
  2. Again if you can, organize with others, even if it’s one person
  3. If you can afford to hire an attorney, do so. A letter from an attorney can often do wonders.
  4. If you cannot afford an attorney or do not wish to do so, Contact your employer, University, or School and Inform them you will be making a  formal complaint with whichever agencies below are appropriate:
    a) NY State Division of Human Rights/NJ Division on Civil Rights  EEOC (for employers), b) OSHA (for employers creating an unsafe workplace), c) U.S. Dept of Education (for schools) NY (NJ) Department of Education. d) Wrongful termination lawsuit (if you are fired)
7. Sample Letters to Employer Over Being Placed on Unpaid Leave-religious

Sample Letter:

AFFIDAVIT

DATE

To: (insert employers name)

       (insert employers address)

       (insert employers city, state, zip)

Dear whom it may concern:

I was just informed I was placed on unpaid leave. I consider this retaliation in response to my religious beliefs. It is my legal right to refuse any medical intervention that is contrary to my religious beliefs according to God and the US Constitution. Refusing to take a vaccination that goes against my religious beliefs is not an admission that I have decided to resign. Nor is refusing to take the PCR test when a rapid fire spit test is available. I have not resigned. I am not resigning. I refuse to resign. I am willing to continue working. I am willing to accept a reasonable accommodation. Locking me out of my work space is illegal. You cannot by law fire someone because of their religious beliefs.    

I, _________(your name) certify under Penalty of Perjury and the laws of the State of New York that the foregoing affidavit is a true, accurate, and correct statement concerning my faith and religious beliefs.

_______________________________

Signature of Affiant

Your Name Printed

 ACKNOWLEDGMENT

state of ________________________ county of _________________:

On this _______ day of ______________, 20___, before me personally appeared __________________________, to me known to be the person described in and who executed the foregoing instrument and acknowledged that he executed the same as his free act and deed, for the purposes therein set forth.

       _______________________________________

      (Notary Public)

My Commission Expires ______________________________, 20___

  • Sample Letters to Employer Over Being Placed on Unpaid Leave-EUA

AFFIDAVIT

DATE

To: (insert employers name)

       (insert employers address)

       (insert employers city, state, zip)

Dear whom it may concern:

As the Covid-19 vaccine was not approved until Aug 23, 2021,any actions placing me on unpaid leave was illegal. I consider this retaliation in response to my healthcare decisions. According to Federal Law: 21 U.S.C. §360bbb-3 it’s illegal to mandate any EUA products.

I, _________(your name) certify under Penalty of Perjury and the laws of the State of New York that the foregoing affidavit is a true, accurate, and correct statement concerning my faith and religious beliefs.

_______________________________

Signature of Affiant

Your Name Printed

 ACKNOWLEDGMENT

state of ________________________ county of _________________:

On this _______ day of ______________, 20___, before me personally appeared ___________________, to me known to be the person described in and who executed the foregoing instrument and acknowledged that he executed the same as his free act and deed, for the purposes therein set forth.

 _______________________________________

 (Notary Public)

My Commission Expires ______________________________, 20___

8. Sample Letters Denying Your Resignation  

Sample letter 1

AFFIDAVIT

DATE

To: (insert employers name)

       (insert employers address)

       (insert employers city, state, zip)

Dear whom it may concern:

I wish to make it clear in writing I am not resigning. I consider myself to still be employed. I have not received a termination letter. Until I receive a termination letter and the reason for my termination, I consider myself still employed.

Respectfully,

I, _________(your name) certify under Penalty of Perjury and the laws of the State of New York that the foregoing affidavit is a true, accurate, and correct statement concerning my faith and religious beliefs.

_______________________________

Signature of Affiant

Your Name Printed

 ACKNOWLEDGMENT

state of ________________________ county of _________________:

On this _______ day of ______________, 20___, before me personally appeared ___________________, to me known to be the person described in and who executed the foregoing instrument and acknowledged that he executed the same as his free act and deed, for the purposes therein set forth.

_______________________________________

(Notary Public)

My Commission Expires ______________________________, 20___

Sample letter 2

AFFIDAVIT

DATE

To: (insert employers name)

       (insert employers address)

       (insert employers city, state, zip)

Dear whom it may concern:

I just received a letter stating that my refusal to take the Covid-19 shot is being construed as a resignation. I have not resigned. I am not resigning. I am willing to continue working without disclosing my vaccination status which is my private health information.

 I, _________(your name) certify under Penalty of Perjury and the laws of the State of New York that the foregoing affidavit is a true, accurate, and correct statement concerning my faith and religious beliefs.

_______________________________

Signature of Affiant

Your Name Printed

 ACKNOWLEDGMENT

state of ________________________ county of _________________:

On this _______ day of ______________, 20___, before me personally appeared ___________________, to me known to be the person described in and who executed the foregoing instrument and acknowledged that he executed the same as his free act and deed, for the purposes therein set forth.

 _______________________________________

(Notary Public)

My Commission Expires ______________________________, 20___

Sample letter 3

AFFIDAVIT

DATE

To: (insert employers name)

       (insert employers address)

       (insert employers city, state, zip)

Dear whom it may concern:

I was just locked out of my work space. Am I being fired? Is this an act of termination? I have not received any termination letter. Please provide said termination letter. It is my legal right to refuse any medical intervention that is contrary to my religious beliefs according to God and the US Constitution. Refusing to take a vaccination that goes against my religious beliefs is not an admission that I have decided to resign. I have not resigned. I am not resigning. I refuse to resign. I am willing to continue working. Locking me out of my work space is illegal. You cannot by law fire someone because of their religious beliefs.     

I, _________(your name) certify under Penalty of Perjury and the laws of the State of New York that the foregoing affidavit is a true, accurate, and correct statement concerning my faith and religious beliefs.

_______________________________

Signature of Affiant

Your Name Printed

 ACKNOWLEDGMENT

state of ________________________ county of _________________:

On this _______ day of ______________, 20___, before me personally appeared _______________, to me known to be the person described in and who executed the foregoing instrument and acknowledged that he executed the same as his free act and deed, for the purposes therein set forth.

 _______________________________________

(Notary Public)

My Commission Expires ______________________________, 20___

Sample letter 4

AFFIDAVIT

DATE

To: (insert employers name)

       (insert employers address)

       (insert employers city, state, zip)

Dear whom it may concern:

I was just locked out of my work space. Am I being fired? I have not resigned. I have already mentioned that I would agree to a reasonable accommodation. Locking me out of my work space and denying me both a religious exemption and reasonable accommodation is illegal. You cannot by law fire someone because of their religious beliefs.    

I, _________(your name) certify under Penalty of Perjury and the laws of the State of New York that the foregoing affidavit is a true, accurate, and correct statement concerning my faith and religious beliefs.

_______________________________

Signature of Affiant

Your Name Printed

 ACKNOWLEDGMENT

state of ________________________ county of _________________:

On this _______ day of ______________, 20___, before me personally appeared _______________, to me known to be the person described in and who executed the foregoing instrument and acknowledged that he executed the same as his free act and deed, for the purposes therein set forth.

 _______________________________________

 (Notary Public)

My Commission Expires ______________________________, 20___

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