COVID-19 Testing Exemption Form

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COVID-19 Testing Exemption Form

Please complete this form if you are requesting to be exempt from mandatory bi-weekly COVID-19 testing on campus. Note: If the exemption request is NOT approved, you will be notified by Health Services via email.

* Indicates required question

Email *

Your email

First Name *

Your answer

Last Name *

Your answer

URI Student ID # *

Your answer

Address at which you are residing this semester *

Your answer

Cell Phone # *

Your answer

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