COVID-19 Model Memo VM – Request for “Medically-Based” Exemption from Covid 19 Vaccine Requirement” (with Suggested Accommodations)

This Model Letter has been crafted to assist you in receiving an “Medically-Based” Exemption from your Employer’s Requirement that you obtain a Covid 19 Vaccination before returning to your workplace. It includes (a) your reasons for needing the exemption, (b) suggested Reasonable Accommodations to enable you to fulfill your obligations and yet not endanger your colleagues, and (c) a Letter of Support from a Physician. As with all of our Model Memos, it requires that you insert your own unique facts and circumstances, and shows you “What to Say, and How to Say It.”™


Members Get 10% OFF

- More info SKU: COVID-19 VM Category:

THIS IS A DOWNLOADABLE PRODUCT: Your purchase will be delivered to you by emailed link within 10 minutes, so that you can instantly download it. If you do not receive yours within that time, please first check your Spam folder and Junkmail. If it is not there, please email us at [If you need to speak with us, from 9 am to 5 pm Eastern Time, just call our office at 212.757.5000; at other times, call 516.223.1330. If needed, we can email your purchase directly to you.]


For some employees, injection of the Covid vaccine could pose a serious threat to their own health. These include people who have compromised immune systems, severe allergies to ingredients of the Covid vaccine, and those who take medications that are inconsistent with it, as well as pregnant or breastfeeding employees.

These employees are legally entitled to an exemption from the Covid vaccine requirement, so long as they provide convincing evidence of such need, and agree to reasonable accommodations that would enable the fulfillment of their job duties, nonetheless.