If your religious belief, practice, or observance conflicts with the vaccination requirement, please provide the information requested below. The purpose of this form is to determine whether you may be eligible for an exception.This file is a request form for individuals seeking a religious or spiritual exemption from COVID-19 vaccination requirements. Two states, Louisiana and Minnesota, do not specify whether the nonmedical exemption must be for religious or personal reasons. In the letter of religious exemption, you must demonstrate that you have "sincerely held" religious beliefs that go against the vaccine mandate. A completed request for an exemption using either the medical exemption form or religious exemption form. There is no form for requesting religious exemptions in North Carolina. Thomas COVID-19 Vaccine Requirement. Religious Exemption Request. 1.