64D-3.050. Standards and Forms for Exemption from Private Employer COVID-19 Vaccination Mandates  


Effective on Tuesday, June 21, 2022
  • 1(1) To claim an exemption based on medical reasons, including pregnancy or anticipated pregnancy, an employee must present a completed DH8016-DCHP-11/2021 “Medical Exemption from COVID-19 Vaccination,” form incorporated by reference herein and available at 36https://www.flrules.org/Gateway/reference.asp?No=Ref-14376, 38or a substantially similar form to their employer.

    46(2) The following circumstances constitute an anticipated pregnancy:

    54(a) The employee intends to become pregnant; and

    62(b) The employee is of child-bearing age.

    69The medical exemption for anticipated pregnancy shall remain in effect for the time that the employee intends to become pregnant and is of child-bearing age. The employer shall accept the representations of the employee in regard to the employee’s intent to become pregnant.

    112(3) To claim an exemption based on religious reasons, which may include a sincerely held moral or ethical belief, an employee must present a completed DH8017-DCHP-11/2021 “Religious Exemption from COVID-19 Vaccination,” form incorporated by 147reference herein and available at 152https://www.flrules.org/Gateway/reference.asp?No=Ref-14377, 154or a substantially similar form to their employer. 162An employer shall not inquire into the veracity of the employee’s religious beliefs.

    175(4) To claim an exemption based on COVID-19 immunity, an employee must present a completed DH8018-DCHP-11/2021 “Exemption from COVID-19 Vaccination Based on COVID-19 Immunity,” form incorporated by reference herein and available at 208https://www.flrules.org/Gateway/reference.asp?No=Ref-14378, 210or a substantially similar form to their employer. For the purpose of claiming an exemption based on COVID-19 immunity, an employee must present proof of either:

    236(a) A positive laboratory result from a diagnostic test that has received full approval by, or Emergency Use Authorization from, the U.S. Food and Drug Administration, or

    263(b) A positive laboratory result from an antibody test that has received full approval by, or Emergency Use Authorization from, the U.S. Food and Drug Administration.

    289(5) To claim an exemption based on periodic testing, an employee must present a completed DH8019-DCHP-11/2021 “Exemption from COVID-19 Vaccination Based on Periodic Testing,” form incorporated by reference herein and available at 322https://www.flrules.org/Gateway/reference.asp?No=Ref-14379, 324or a substantially similar form to their employer.

    332(6) For the purpose of claiming an exemption based on periodic testing, an employer can test an employee, using a diagnostic test that has received full approval by, or Emergency Use Authorization from, the U.S. Food and Drug Administration, no more than weekly, or upon evidence of COVID-19 symptoms, at no cost to the employee.

    387(7) To claim an exemption based on employer-provided personal protective equipment, an employee must present a completed DH8020-DCHP-11/2021 “Exemption from COVID-19 Vaccination Based on Employer-Provided Personal Protective Equipment,” form incorporated by reference herein and available at 424https://www.flrules.org/Gateway/reference.asp?No=Ref-14380, 426or a substantially similar form to their employer.

    434Rulemaking Authority 381.00317(1), (1)(a), (1)(c) FS. Law Implemented 381.00317(1) FS. History–New 6-21-22.