DocumentsCOVID-19 Vaccination Exemption Affidavit
COVID-19 Vaccination Exemption Affidavit
If you’re looking to request a COVID-19 vaccine exemption from your employer, university or other post-secondary institution, you’ll need this affidavit to establish your request.
NotaryPro encourages individuals to speak to their healthcare professionals regarding vaccinations and follow all rules and guidelines from their local public health unit.
Vaccination Exemption Affidavit
To make the process of drafting and notarizing your vaccination exemption affidavit as easy and convenient as possible, NotaryPro offers an online document creator. You can avoid the hassle of making an appointment with a notary public and spend less time drafting a document.
What is a COVID-19 Vaccination Exemption Affidavit?
What reasons can I use for a COVID-19 Vaccine Exemption?
The two most commonly cited reasons that people include in their COVID-19 vaccine exemption affidavits are:
- that the vaccine conflicts with their sincerely held beliefs or religious beliefs, or
- that there is a medical reason for their exemption (possible examples may be: that the individual is immunocompromised, or severely allergic to compounds present in the vaccine.)
IMPORTANT: This affidavit is a tool for establishing your declared or stated view of a set of facts. The Affidavit provided by NotaryPro simply provides you with a standard template Affidavit for your personal use. The end recipient’s acceptance of the Affidavit cannot be and is not guaranteed by NotaryPro. We cannot confirm that any recipient will accept, acknowledge or otherwise recognize the vaccine exemption Affidavit. NotaryPro does not take any responsibility for your use of the Affidavit, nor any consequences or repercussions related to or directly caused by the use of the Affidavit.
What information do I need to include with my vaccine exemption affidavit?
Like other affidavits, you’ll need to include detailed information about yourself, as well as the reason you’re requesting to be exempt from receiving the vaccine. These details include:
- Full Legal Name
- Full Current Address
- Date and Location of Birth
- Citizenship Status
- Detailed Reason for the Vaccine Exemption
Depending on the recipient of this document, you may also need to provide additional information to verify specific information in the affidavit. This may include proof of identity in the form of a clear copy of your valid passport or government-issued ID, your proof of Canadian citizenship or permanent residency.
What is a statement of conscience?
A “statement of conscience” is a formal declaration of your personal beliefs, values, or moral principles. Your statement of conscience may have legal implications as you attempt to use it to object to an activity conflicting with your deeply-held beliefs, in this case, vaccination.