Exception Request Templates

This Form is used for requesting a benefit exception regarding the Washington State Department of Health's Dap program.

This type of document is used to request an exception in the Dual Enrollment Funding Program in Georgia due to extenuating circumstances.

This Form is used for requesting an exception to the state's Lacarte Card and CBA policy/procedures in Louisiana.

This document allows Indiana residents to request an exception for a QPA (Qualified Plan Administrator) when using a Managed Service Provider for certain services.

This Form is used for requesting an exception to the lodging policy in Illinois.

This document is for requesting an exception to the policy of working or taking equipment out of the country for employees based in Utah.

This document is used for requesting an exception to the design standards for ADA curb ramps in the state of Oregon.

This Form is used for requesting an exception to the Oregon Department of Transportation's Disadvantaged Business Enterprise (DBE) Access Program.

This form is used by licensed drug and alcohol facilities and recovery houses in Pennsylvania to request an exception to existing rules or regulations. Essential for treatment establishments seeking regulatory flexibility.

This document is designed for individuals who are seeking an exception to the Covid-19 vaccination mandate due to personal grounds such as medical, religious or other issues. It outlines the process, privacy policies, and rights under the Privacy Act Statement.