Flu Vaccination Religious Exemptions Form

Please submit your religious exemption request using the form below.

Important

• Before submitting the form, please review all fields to ensure you entered your information correctly. If there are errors in your name, email address, employee ID or date of birth, we may not be able to process your submission.
• You can find your UMMS employee ID number on your pay stub. You can also ask your manager. In most cases, your employee number is not the same as your badge number.

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