Request for Accommodations for the Wellness Incentive Program Due to Sincerely Held Religious Beliefs
This form should be used when requesting accommodations for the Wellness Incentive Plan due to sincerely held religious beliefs.
Step 1: Review and acknowledge the information below.
Step 2: Submit the completed request form.
To request disability accommodations as the basis for exemption from the COVID-19 vaccine, please contact the Deputy Compliance Officer at DeputyComplianceOfficer@MissouriState.edu or by calling 417-836-6755.