Who Needs an Affidavit for COVID-19 Vaccine Exemption?
This form is used by individuals who are requesting a medical, religious, or personal exemption from COVID-19 vaccination mandates in settings such as schools, workplaces, travel, or public programs. It may be required to formally document and swear the basis for your exemption request.
What Is a COVID-19 Vaccine Exemption Affidavit?
An Affidavit for COVID-19 Vaccine Exemption is a sworn legal document stating your reason for not receiving the COVID-19 vaccine. This may include medical contraindications, religious beliefs, or conscientious objection. The affidavit must be signed in front of a notary public or commissioner of oaths to be considered valid for submission to institutions or authorities.
Where Is This Affidavit Submitted?
It is typically submitted to employers, educational institutions, government agencies, or healthcare providers that have implemented COVID-19 vaccination policies. A notarized exemption affidavit may be required in lieu of standard vaccine documentation or screening forms.
Why You Need a Notarized Vaccine Exemption Affidavit
A notarized affidavit confirms that your declaration is truthful, sworn under oath, and legally binding. It provides institutions with a formal and credible record of your exemption request and may help meet policy requirements or appeal conditions where vaccine exemptions are permitted.
How to Complete and Notarize the Affidavit for COVID-19 Vaccine Exemption
- Complete the form with your personal information and clear statement explaining your exemption reason.
- Specify whether your exemption is medical (attach physician letter if applicable), religious, or personal.
- Do not sign the affidavit until you are in front of a notary public or commissioner of oaths.
- Bring valid government-issued photo ID and any relevant supporting documentation.
- The notary will witness your signature, apply their seal, and your affidavit will then be ready for submission.
Final Note
This free Affidavit for COVID-19 Vaccine Exemption must be signed in front of a notary public near you to be legally valid and widely accepted by employers, schools, and government agencies across Canada.