The parents are requesting a religious exemption from vaccinating their child based on their religious beliefs. Filling out the Certificate of Religious Exemption is simple.We've provided a request form template for you to download and fill out here. My state has this form where the parent will write out their religious reason for refusing vaccines and the physician is supposed to sign the bottom. I am a baptized Catholic seeking an exemption from an immunization requirement. In the space provided below, state each vaccination or examination exemption requested and state the religious grounds for each request. Edit, sign, and share religious exemption form illinois online. No need to install software, just go to DocHub, and sign up instantly and for free. This demand for an exemption is based on my deeply held religious beliefs pursuant to my reliance on teachings in the Holy Bible. Edit, sign, and share sample religious exemption letter illinois online.