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Religious and Medical Exemption Declaration. Auto Warehousing Company. General Shell
Religious and Medical Exemption Declaration. Auto Warehousing Company. General Shell
COVID-19 EMPLOYEE
RELIGIOUS AND MEDICAL EXEMPTION DECLARATION
(REQUEST FOR EXEMPTION)
Employer:_________________________________________________________
________________________________ _______________________________
Employee Name ID No.
________________________________
Department/Location
DECLARATION:
I declare under penalty of perjury under the laws of the State of __________
Officer/Agent: __________________________Title:______________________