Instructions for completing a Religious Immunization Exemption Certificate. Section 1: Enter school and student information.How often do I need to submit a religious or medical exemption form? • Religious exemptions must be submitted annually. This file is a request form for individuals seeking a religious or spiritual exemption from COVID-19 vaccination requirements. To be eligible for a possible exception, you must first establish that your refusal to be vaccinated is based upon a sincere belief that is religious in nature. Section 1: Enter child care facility and child information. I am requesting an exception from the COVID-19 vaccination on the basis of a sincerely held religious belief. Individual's name: Date of birth: Phone number:. Under Title VII, job applicants as well as employees have the right to request an exemption, also called a religious accommodation, from an employment mandate.