Mandate Exemption Letter

If you want to be exempted from a mandate or directive, you can send this Mandate Exemption Letter to the enforcers for consideration.

[Sender’s Name]

[City, State and Zip Code]

[Email Address]


Reference: Mandate Exemption on [Matter Exempted from]

To Whom It May Concern,

I am writing in regard to the announced mandate concerning [Mandate Announced]. I hereby submit my request for exemption from this mandate. The reasons for my application are [Reasons for Exemption Request].

I acknowledge your commitment to keeping everyone safe through these mandates. I, however, feel that abiding with them contradicts my beliefs. I thus request that you consider my reasons as highlighted and offer a mandate exemption.

I look forward to your assistance in this matter. Thank you for your time, and looking forward to a positive response.


[Sender’s Signature]

[Sender’s Name]

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