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Signing this form constitutes a declaration that the information you provide is, to the best of your knowledge and ability, true and correct. The South Carolina Certificate of Religious Exemption may only be obtained at a county public health department.Forms cannot be e-mailed or mailed. Request for a Religious Exception to the COVID-19 Vaccination Requirement. The rule that OFCCP promulgated in December 2020 purported to clarify the scope and application of the religious exemption. This affidavit is to request exclusion for reasons of conscience, including religious belief, from required school immunizations. In order to request a religious exception, please fill out this form so the Department can determine whether you may be eligible for an such an exception. AFFIDAVIT. Refusal of Immunization of Student for Religious Reasons. Please read instructions on the reverse of this certificate before completing. All entries must be legible or form will be returned.