This form is a sample letter in Word format covering the subject matter of the title of the form.
[Your Name] [Your Address] [City, State, ZIP Code] [Email Address] [Phone Number] [Date] [Name of the Authority] [Position] [Suffolk County Department] [Address] [City, State, ZIP Code] Subject: Request for Exemption [Specify the Purpose] Dear [Mr./Ms./Dr. Last Name], I hope this letter finds you in good health and high spirits. I am writing to seek an exemption from [the specific regulation/policy/order], as outlined by [the name of the authority if applicable]. I am a resident of Suffolk County who is seeking to address certain circumstances that require special consideration. Furthermore, I understand and appreciate the importance of adhering to regulations set forth by the Suffolk County Department. However, I believe I meet the criteria for an exemption due to the unique and compelling nature of my situation. [Provide a detailed explanation of why you are seeking an exemption. Include relevant keywords such as Suffolk County, specific guidelines/regulations, and any specific circumstances you may be facing.] I kindly request that you review my case with the utmost consideration and provide me with an exemption from the aforementioned regulation. I assure you that I will strictly adhere to any additional guidelines or conditions that may be imposed upon the granting of my exemption. [Cite any supporting documentation or evidence to strengthen your case, such as medical records, financial statements, or relevant legal documents.] I am confident that granting this exemption will enable me to [state the positive outcomes or benefits that will arise from the exemption], without compromising the well-being and safety of others in our community. I am more than willing to discuss my situation further or provide any additional information that may be required for your consideration. Please do not hesitate to contact me at [phone number] or [email address] at your convenience. Thank you for your time, attention, and understanding. I truly appreciate your assistance in carefully reviewing my request for exemption. Yours sincerely, [Your Name][Your Name] [Your Address] [City, State, ZIP Code] [Email Address] [Phone Number] [Date] [Name of the Authority] [Position] [Suffolk County Department] [Address] [City, State, ZIP Code] Subject: Request for Exemption [Specify the Purpose] Dear [Mr./Ms./Dr. Last Name], I hope this letter finds you in good health and high spirits. I am writing to seek an exemption from [the specific regulation/policy/order], as outlined by [the name of the authority if applicable]. I am a resident of Suffolk County who is seeking to address certain circumstances that require special consideration. Furthermore, I understand and appreciate the importance of adhering to regulations set forth by the Suffolk County Department. However, I believe I meet the criteria for an exemption due to the unique and compelling nature of my situation. [Provide a detailed explanation of why you are seeking an exemption. Include relevant keywords such as Suffolk County, specific guidelines/regulations, and any specific circumstances you may be facing.] I kindly request that you review my case with the utmost consideration and provide me with an exemption from the aforementioned regulation. I assure you that I will strictly adhere to any additional guidelines or conditions that may be imposed upon the granting of my exemption. [Cite any supporting documentation or evidence to strengthen your case, such as medical records, financial statements, or relevant legal documents.] I am confident that granting this exemption will enable me to [state the positive outcomes or benefits that will arise from the exemption], without compromising the well-being and safety of others in our community. I am more than willing to discuss my situation further or provide any additional information that may be required for your consideration. Please do not hesitate to contact me at [phone number] or [email address] at your convenience. Thank you for your time, attention, and understanding. I truly appreciate your assistance in carefully reviewing my request for exemption. Yours sincerely, [Your Name]