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Dear Employer:
religious belief and conviction that prevents me from receiving one or more of the
that is known to the Employer to be capable of causing the death of a human being;
has caused the death of thousands of human beings; and or has inflicted other
serious bodily harm on thousands of human beings after receiving one of the
sincerely held religious beliefs against murder, suicide and the killing of another
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human being, in addition to other Commandments of God set forth in Exodus 20:1-
The Holy Scriptures further reveal that God knew us even before we are
conceived. See, e.g., Psalm 139:13-16 and Jeremiah 1:4-5 (“The word of the Lord
came to me, saying, ‘Before I formed you in the womb I knew you, before you
were born I set you apart; I appointed you as a prophet to the nations.’”).
Also, while a child is in her/his mother’s womb, the mother must provide
maintenance and sustenance for her own immune system, and the developing
immune system of her unborn off-spring. God did not burden the male species with
substantial risk that receiving a COVID-19 vaccine could interfere with female
reproduction and cause the death of, or serious injury to, the unborn child. This
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Moreover, the Christian Church expressly condemns the killing of human
infants while in the womb, or condoning such murder, from earliest times. See,
e.g., “The Didache”, a conduct code of the early Christian community, dated by
some as being as early as 70 AD; “Loeb Edition of the Apostolic Fathers”; “A Plea
Apologeticum, written in 197 AD: (“Murder being once for all forbidden, we
[Christians] may not destroy even the fetus in the womb, . . .”)
Hence, the numerous ways the COVID-19 vaccines would cause me to run
afoul of my duty under God, the Holy Scriptures directly prohibits me, in every
For the above stated reasons, and notwithstanding any applicable individual
statutory rights I may have existing under Federal and State laws, including the
Amendment:
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The Tenth Amendment has recently been explained and interpreted by the
U.S. Supreme Court in Bond v. U.S., 564 U.S. 211 (2011) and Bond v. United
States, 572 U.S. 844 (2014) (‘An individual may ‘assert injury from governmental
Employee Name:_________________________________
ID Number:______________________ Department:________________________
I declare under penalty of perjury under the laws of the State of Washington