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Download health coverage exemption forms | HealthCare.gov

    https://www.healthcare.gov/exemption-form-instructions/
    Step 1: Identify the correct form for you. Right-click this exemption application form (PDF, 1.2 MB) link for hardship exemptions, like homelessness, bankruptcy, eviction, or foreclosure. Right-click this exemption application form (PDF, 1.1 MB) for affordability exemptions …

REQUEST FOR A MEDICAL EXCEPTION TO THE COVID …

    https://www.dhs.gov/sites/default/files/publications/dhs-medical-exemption-form_11-03-2021.pdf
    To request a medical exception or delay from the COVID-19 vaccination requirement using this form: 1. You must complete Part 1 of this form. 2. Your medical …

Request for Temporary Medical Exemption from Plan …

    https://www.healthcareoptions.dhcs.ca.gov/sites/default/files/Documents/MU_0003383_ENG_TempMedExemptionWEB.pdf
    REQUEST FOR TEMPORARY MEDICAL EXEMPTION FROM PLAN ENROLLMENT Submit this request if your condition could get worse if you enroll in a Medi-Cal Managed …

About Form 8843, Statement for Exempt Individuals and …

    https://www.irs.gov/forms-pubs/about-form-8843
    About Form 8843, Statement for Exempt Individuals and Individuals with a Medical Condition If you are an alien individual, file Form 8843 to explain the basis of …

Health coverage exemptions, forms, and how to apply

    https://www.healthcare.gov/health-coverage-exemptions/forms-how-to-apply/
    There are 2 types of exemptions: Affordability and hardship. Affordability (income-related) exemptions You can qualify for this exemption if the lowest-priced coverage available to …

Form N-648, Medical Certification for Disability Exceptions

    https://www.uscis.gov/sites/default/files/document/forms/n-648.pdf
    impairment that has lasted, or is expected to last, 12 months or more. Applicants seeking such an exception should submit this form as an attachment to the Form N-400, …

Request for a Medical Exception to the COVID-19 Vaccination

    https://www.gsa.gov/forms-library/request-medical-exception-covid-19-vaccination-requirement
    The GSA Forms Library contains these forms and views: GSA Forms (GSA) This is a list of all GSA forms. These are most often used by GSA employees, contractors and …

COVID-19 Vaccination Medical Exemption Form - Columbus

    https://www.columbus.gov/hr/COVID-19-Medical-Exemption-Form/
    exemption based on a true medical contraindication as outlined by the CDC. I am requesting a temporary/permanent (please circle one) medical exemption for the above-named …

Exemptions from State Vaccination Requirements | CDC

    https://www.cdc.gov/vaccines/imz-managers/coverage/schoolvaxview/requirements/exemption.html
    Exemptions from state or local requirements may apply to some children. All states and the District of Columbia allow a medical exemption. A medical exemption is …

How do I apply for a Medical Exemption certificate (MEDEX)?

    https://faq.nhsbsa.nhs.uk/knowledgebase/article/KA-03715/en-us
    You can apply for a MEDEX if you have a listed medical condition. This entitles you to free NHS prescriptions. If you're entitled to a MEDEX, an FP92a application form will be …



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