A form for employees to request a religious accommodation under Title VII of the Civil Rights Act of 1964, including exemption requests from a COVID-19 mandatory vaccination policy, based on sincerely held religious beliefs or practices. This form can also be used by an employer to document an employee's oral request for a religious accommodation. It can be attached to and referred to in the employer's religious accommodations policy. This Standard Document applies only to private workplaces. It is based on federal law. State or local law may impose additional or different requirements, but this document is useful and relevant to employers in every state. This Standard Document has integrated notes with important drafting tips and explanations regarding the accommodation process, including obtaining information regarding an employee's sincerely held religious beliefs and need for an accommodation.