COVID Religious Exemption Form

Students who hold genuine and sincere religious beliefs which are contrary to COVID-19 vaccination may be exempted from this requirement. Inclusion of general philosophical, political, medical or moral objections to the COVID-19 vaccine will  result in a denial  of a religious exemption.

Exemption Process

Students requesting a religious exemption are required to submit a completed and signed COVID-19 Vaccine Religious Exemption Request Form to UB Health Services. Inclusion of general philosophical, political, medical or moral objections to the COVID-19 vaccine will  result in a denial  of a religious exemption.

Students who receive an approved  religious exemption should be aware that some off-campus placements may have stricter vaccination requirements than the university and do not accept UB’s exemptions. In these instances, students who receive a UB-approved religious exemption may not be able to complete their degree.

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University at Buffalo
4350 Maple Rd
Amherst, NY 14226

Phone: (716) 829-3316; Fax: (716) 829-2564

Form Facts

Form Type: Downloadable, PDF document

Requirements: Adobe Reader

Updated: 3/24/2022

Owner: Student Health Services