Vaccine or Test Exemption Letter

Updated: Sep 10



Please feel free to modify this letter to fit your current situation. To (LIST ALL names of individuals, PLUS company, or agencies involved.

From etc

Certified or Registered Mail # __________________

SUBJECT: RELIGIOUS & HEALTH EXEMPTION AND CONDITIONAL ACCEPTANCE

I, ____________________, hereby state that I have chosen to not take this non-finally tested and approved experimental drug, because I am religiously opposed to vaccination according to the Book of Psalms, chapter 91, of The Holy Scriptures, which instructs us to put our complete trust in YAH for protection from disease(s), plagues and pandemics. This chapter, written thousands of years before vaccines were invented. This highlights a recurring theme of my faith that it is only through faith in Yahuwshuwa and obedience to Yahuwah's commandments that one can live a long life in excellent health. My YAH warns in Jeremiah 17:5, that those whom put their trust in humans vs. Him alone place themselves under His Curse.

Outside of clear instructions in Scripture concerning how to live a life free from disease, I maintain that I have investigated the reported risks and benefits of vaccination and the reported risks of the so-called “vaccine-preventable diseases.” I maintain I am making a responsible and ethical choice for the following reasons – unless you provide evidence to the contrary AND you accept full liability on the following grounds:

  1. Vaccination is a medical intervention performed that can injure or cause death; the CDC has recorded millions of injuries and deaths from vaccines through its VAERS system. The Vaccine Injury Compensation Court has issued BILLIONS of dollars in damages to families of those damaged by previous vaccines, which were fully approved and tested first, unlike this one.

  2. The fact that there cannot be a guarantee that the deliberate introduction of live or killed microorganisms into my body will not compromise my health, or cause death either immediately or in the future.

  3. There are no predictors in science that can give advance warning that injury or death may or may not occur in any particular man, woman or child that is “vaccinated” with this mere experimental drug.

  4. There are no proven assurances that the vaccine will protect me from contracting the disease long term, as indicated on ALL vaccine inserts.

  5. There is an absence of adequate scientific knowledge regarding how these experimental drugs; so called “vaccines”, interact with the human body on a molecular level, short or long term.

  6. Many vaccines contain the fetal material of aborted babies, which would constitute a gross violation of the moral tenets of my religious beliefs. Jeremiah1:5 states YAH has a purpose for the life of every human being even BEFORE they are formed in the womb.

Therefore, I believe that this vaccine is actually a medical procedure, that could reasonably be termed as experimental each time it is administered.

The law in the State of _________________ makes provision for non-vaccination for those who object to vaccines for religious reasons. I accept those provisions in full.

In the event of a “vaccine-preventable disease outbreak,” I am the one at risk and would remain home IF the above items are proven with evidence. I understand your facility might exclude me, and I will gladly make the necessary arrangements, if you provide said proofs, and with just compensation.

Additionally, I find no law that says a company or any government agency can mandate any man, woman or child to take an “experimental drug,” while misleadingly calling it a vaccine. That party would first have to do the following to justify their decision, which then can be legally challenged – let this stand as your notice and opportunity to respond. Please provide proof of claim that you can force this medical experiment on me in light of the following:

  1. Please provide proof, under the Management of Health and Safety at Works Act 1999, as to why you can make it mandatory for employee, or any man, woman, or child, to take an experimental drug, that is currently on trial until 2023. Are you willfully violating this act?

  2. Please provide a letter from the company or agency confirming they accept liability for any medical condition resulting short or long term, as a result of forcing me to take an experimental vaccine as a condition of employment or receipt of benefit. Would this not be a violation of the Health and Safety at Work Act 1974 Section 2 to do this?

  3. Please provide a letter from the manager implementing the policy, confirming they accept personal liability for any medical condition that may be caused by this forced experiment, while doing so knowingly and willfully in violation of the Health and Safety at Work Act 1974 Section 2. Or are you agreeing that you are willfully violating this act?


Respondent has 5 (five) business days to provide above requested information. If You choose not to Provide said information you hereby tacitly agree to the above stated facts, and thus waive any mask or experimental vaccine requirement imposed. You also therefore agree to accept full liability for consequences caused physically and financially. Any non-answer or action that results in a threat of termination of employment or loss of benefits, also constitutes your agreement that you are imposing illegal and dangerous acts upon me, knowing and willfully. Notice to principal is notice to all agents, managers, and people personally knowingly participating.

Please be guided accordingly:

Person Objecting: ___________________ Signature: ___________________________, 2021 ACKNOWLEDGEMENT

State of _________________

County of _______________

On this, the ____ day of ___________________, 202__, before me a Notary Public, the undersigned officer, personally appeared John Henry Doe known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that he/she executed the same for the purposes therein contained.

In Witness Whereof, I have hereunto set my hand and notarial seal. Signature of Notary Public: ________________________________ SEAL My commission expires: ___________ Date: _______________, 202__



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