Vaccine exemption letter sample

Vaccine exemption letter sample. Exemption Reasonable Accommodation Procedures. A medical exemption may be validated by a health care professional. Rabies is an almost invariably fatal disease for animals and Feb 16, 2022 · Request for a Religious Exception to the COVID-19 Vaccination Requirement. Oct 25, 2021 · On October 25, 2021, the U. Additional documentation may include but is not limited to the following: a. Telephone Asian or Pacific Islander American Indian or Alaskan Native Hispanic origin: Yes No Please circle present grade. Sep 23, 2021 · In Washington the process to receive a religious exemption from the COVID-19 vaccine is determined by the individual human resources department of the agency, school district or health care facility. Documented anaphylaxis to a previous dose of COVID-19 vaccine or documented anaphylaxis to one of the vaccine components in authorized, available COVID-19 vaccines: Vaccine product Potential allergen included in the vaccine or its container May 2, 2023 · Write a letter that explains their reasons for refusing vaccines. Minimum ages or dose intervals – Tennessee follows published CDC guidelines. Second, communicate view/picture. 850-922-4195. 090. C. Hepatitis A (HepA). A religious exemption will not be granted based on a philosophical, moral, scientific, or conscientious objection. The Arkansas Department of Health is the only entity authorized by state law to grant exemptions to this requirement. Rotavirus (RV). I will explain why. Children need not be immunized if a physician or the physician's designee provides a written statement that immunization may be detrimental to the health of the child. Sep 16, 2021 · This article is republished from The Conversation under a Creative Commons license. In Las Vegas, one church is making religious exemptions easy to obtain. of the form lists the vaccines that are mandated for children to attend schools, preschools, and child care Yellow fever vaccine providers should validate medical exemptions to yellow fever vaccine using the Uniform Stamp of the yellow fever vaccination center. This form may NOT be used for personal or philosophical reasons. Both of these exemptions require a signature by a Physician in North Carolina. Time limited and will be in effect until. CERTIFICATE OF IMMUNIZATION. Title: Request for a Religious Exception to the COVID-19 Vaccination Requirement. ☐ Fever greater than 40. As set out in 10A NCAC 41A . Tallahassee, FL 32399-1719. 090). Office of the Minnesota Secretary of State notary search. PRIVACY ACT STATEMENT request an exemption if they cannot receive the vaccine because of a sincerely held religious belief, practice, or observance. Read the original article. Vaccines not currently required for school include: COVID-19. Florida Department of Health. These forms can be found on the Immunize NC website. First to be implemented publicly with nothing more than preliminary efficacy data. Initial and date the box on the right. First injection of genetically modified polynucleotides in the general population. Human papillomavirus (HPV). By Jacqueline Stenson. When the physician determines that immunization is no longer detrimental to the 3. The individual named above is seeking a medical exception to the requirement for COVID-19 vaccination or a delay because of To request an exemption from required vaccinations, please complete the form below and return this form to the human resources department. Private employers are prohibited from mandating COVID-19 vaccines for employees without opportunity for the employees to obtain an exemption. For dogs, this certificate must be presented with an application for a dog license. For Americans wary of COVID-19 vaccine mandates, like the sweeping requirements President Joe Biden announced Sept. If you do not have a religious objection to the use of all vaccines, please explain why your objection GSA 19M (REV. These diseases remain a threat. Title: Request for a Medical Exception to the COVID-19 Vaccination Requirement. NOTE: If you have an approved medical or religious exemption for a primary vaccine series, you do not need to submit another exemption FLU VACCINE - Religious Exemption. 03/2017 Page 1. For additional questions, please contact: Your Departmental Human Resources Manager (DHRM. Faculty/Staff COVID-19 Vaccine Exemption Form (Health On Track) Once completed, requests are submitted to the university’s COVID-19 vaccine exemption review committees. 320 Rev. There is no requirement for the document to be notarized, and all requests are granted. 9°F) <48 hours after vaccination of DTaP ☐ History of Arthus-type hypersensitivity reactions after a previous dose of diphtheria-toxoid–containing or tetanus-toxoid– containing vaccine; defer vaccination until at least 10 years have elapsed since the last tetanus-toxoid–containing vaccine Aug 19, 2021 · Aug. A letter issued by the Immunization Medical Director is the only acceptable validation of an exemption. Board of Registration in Nursing. 0404, the NC Commission for Public Health has adopted the contraindications that are recommended by the Advisory Aug 18, 2021 · Churches in California and North Carolina are among those now offering congregants documentation for “religious exemptions” to the COVID-19 vaccine, a practice that is legally dubious and likely ineffective, according to labor lawyers. Illinois law does not allow for such exemptions. This form also must be submitted to request religious exemption for any student enrolling to enter any public, charter, private or parochial preschool, kindergarten, elementary or secondary school on or after October 16, 2015. Now that the Food and Drug Administration has fully approved a Covid-19 vaccine, the Pfizer-BioNTech shot dubbed Comirnaty, more employers and By completing this form, you are requesting an exemption for this year’s seasonal influenza vaccination for a religious reason. Annual rabies vaccination waiver. A school or child care facility fails to provide reports of vaccination rates to CDPH. Authority or Regulation: 5 U. A year after defying statewide health orders by continuing to hold indoor services, a Sacramento-area megachurch pastor is offering religious exemption letters to those who Nov 5, 2020 · Approved influenza vaccination exemption requests increased significantly over 3 years among health care personnel at Vanderbilt University Medical Center, according to study findings published in Exemption from immunization. The elders of Grace Baptist Church in Cape Coral, Florida have produced the following documents to serve the members of our church as an increasing number are facing vaccine mandates at their places of employment. Aug 16, 2021 · 5. Special Instructions: Form is for GSA Employee use only. Influenza (flu). 4-7 In addition, those who argue against vaccination mandates often cite feelings of being forced to vaccinate or not having the ability to choose what is best for them and their families. from the immunization requirements for my child due to medical, religious, or philosophical Texas Administrative Code (TAC) §97. A religious exemption can be filed for selected required vaccines or for all required vaccines. O. . . Use this form for true Feb 16, 2022 · Request for a Medical Exception to the COVID-19 Vaccination Requirement. About 120 (0. Don't get me wrong" said preventable by a vaccination required by the Georgia Department of Public Health, and that my child may be required to receive a vaccination in the event that such a disease is in epidemic stages, as provided in Georgia Code Section 31-12-3 and DPH Rule 511-9-1- LETTER OF REQUEST FOR MEDICAL EXEMPTION . A Religious Immunization Exemption form can be obtained for printing by clicking the button below. Race/ethnicity: White. To validate this Answer: Yes, religious and medical exemptions are available in South Carolina. Parent or guardian. When it is determined that this particular vaccine is no longer contraindicated, the child will be required to have the vaccine (R W 28A. Meningococcal disease (MenACWY and MenB). Name. The nature of this sincerely held Apr 14, 2021 · By law, CDPH is required to review exemptions in CAIR-ME when: A school's or child care facility’s immunization rate falls below 95% or. 1%) had a medical exemption to at Request for Exemption. Patient Name: Date of Birth: Dear Provider: As a safety initiative, Mercy requires its co-workers and physicians to receive an annual influenza vaccine. (KCRA/CNN NEWSOURCE/WKRC) — A church in California handed out hundreds of exemption letters Sunday for people who do not want to take the COVID-19 vaccine. Sometimes, however, an individual may be considered exempt from a particular vaccination. This form provides an example template of an accommodation request form for a medical or disability exemption from the COVID-19 vaccine. Pittsburgh and am seeking an exemption from the COVID-19 vaccine because of the following strongly held moral or ethical conviction: A notary public must complete the following: Signature of Notary Public – State of Pennsylvania (Notary Seal) My commission expires: (date) Submit documentation to the University via Oct 22, 2021 · 10/22/2021. 7. PROVIDER CERTIFICATION – To be completed by the requestor’s personal healthcare provider. Your medical provider must complete Part 2 of this form. (a) Medical exemption. (name) I, MAKE OATH OR SOLEMNLY AFFIRM AND SAY AS FOLLOWS: (full name), The requirement to be fully vaccinated against COVID-19 in order to enter a federal correctional institution conflicts with my sincerely held religious belief or practice that prohibits me from receiving the COVID-19 vaccine. 2/2022) Dear Medical Provider: The U. Immunization Section. INSTRUCTIONS: Complete and sign sections A and B in full. 4052 Bald Cypress Way, Bin A11. Resources. The information I have provided on this form is complete and accurate. A health care practitioner may grant a medical exemption to a vaccine required by rule of the Washington State oard of Health only if in their judgment, the vaccine is not advisable for the child. • Once the duration of immunity from the last rabies vaccination has lapsed, this animal is not protected against rabies and, as a result, is at increased risk of becoming infected if exposed to a rabid animal. lacounty. A copy of this certificate must be provided to the owner of the animal listed above and kept as proof of exemption. Statement of Exemption. 8,9 To this end, we wanted to In that sense, no one should need a letter from a priest, as we also wrote, “A religious, moral or other exemption of conscience should be ascertained not by documents, but by a simple conversation seeking only to establish that the individual has a sincerely held, reasonable belief that they should not receive the vaccine. Private health care providers may grant a Temporary Medical Exemption (TME), documented on the Form DH 680, Florida Certification of Immunization, for those who are in the Aug 25, 2021 · Here are some conditions and scenarios that people or health care professionals commonly cite when seeking a medical exemption: PEG allergies: Polyethylene glycol is a substance contained in both Aug 3, 2020 · Medical exemptions can only be requested by a physician licensed to practice medicine in North Carolina. Place an "X" in a box or boxes to the left of each disease, listed below, for which you object to your child receiving the immunization. According to the Washington Administrative Code WAC 246-105-030 and WAC 246-105-040 any child attending school, preschool, or child care in Washington State is required by law to be fully immunized (documentation of vaccination or proof of acquired immunity) against the following diseases at the ages and intervals in Jan 31, 2024 · Student COVID-19 Vaccine Exemption Form. g ov. The Louisiana Department of Education’s exemption form is available here. Rev. Feb 6, 2022 · The content of exemption letters varies, but the goal is the same: helping employees explain that a vaccine rule conflicts with their religious beliefs. 5°C (104. Mailing Address. (KTTV) - A church in California is handed exemption letters for people who do not want to take the coronavirus vaccine. am the above-named individual and am requesting an exemption from the COVID-19 vaccination requirement due to a sincerely held religious belief, practice, or observance that is opposed to this vaccine or immunizations in general. Sep 16, 2021 · Employers with vaccine mandates in place already report being inundated with worker requests for exemption from any requirement to get their shots. Fax. To whom it may concern, Date: I am declaring a religious exemption for the flu vaccine, as well as any and all other future required vaccines, according to my sincerely held religious beliefs, and in accordance with Title VII of the Federal Civil Rights Act protecting religious freedom through the EEOC, which Aug 3, 2023 · Enacted Legislation 2020. Grounds for exemption from required vaccines — Renewal. We will send you a letter of approval or denial within ten working days of receiving a completed application. This completed form, signed and approved by the local health officer in the county in which the dog resides, may be submitted in lieu of proof of rabies vaccination for purposes of securing a license for the indicated dog, as required by California law (17 CCR § 2606. Form #: GSA19M. § 2105 to be vaccinated against COVID-19, with exceptions only as required by law. 2, 2021, 2:00 AM PDT. , age, diagnosis of an Sep 6, 2022 · I am requesting a religious exemption from the Influenza Vaccine Mandatory Vaccination Policy , and in support of that request state the following: 1. Oct 12, 2021 · First, connection. H502. School and child care professionals can use this form to notify parents/guardians of immunization requirements. Equal Employment Opportunity Commission (EEOC) updated its technical assistance related to the COVID-19 pandemic. If you sue, it will be an excellent and very persuasive Exhibit A. preventable disease, my child shall be excluded from school for the entire. Rabies Vaccination Certificate. Address. 4). The following conditions are the only absolute medical exemptions from the COVID-19 vaccine: 1. Contact individual notaries for availability and possible cost. All declinations are due by 10/27/2023. gov. I hereby certify that. Vaccines are safe and effective protection. In addition, health care professional may seek to find answers to what are ethical exemptions for vaccines. Birthdate. com or fax to (513) 852-8799. Black. There are three conditions for exemption: If a healthcare provider determines that it is not safe for them to get a certain vaccine. 130A-156, a medical exemption to a required immunization(s) due to a contraindication adopted by the NC Commission for Public Health. May 3, 2024 · Some patients may have personal reasons for refusing vaccinations or may have questions about medical exemptions for vaccines. General Services Administration (GSA) requires its employees to be fully vaccinated against COVID-19 pursuant to Executive Order of the President of the United States. Although the letter below may not save your job, it is both persuasive and authentic. First coronavirus vaccine ever attempted in humans. Colorado Senate Bill 163 requires a person seeking a nonmedical exemption (either religious or personal belief) to submit a certificate of completion of an online educational module or a certificate of nonmedical exemption. 210. or. I understand the following: The purpose of and the need for the recommended vaccine(s) The risks and benefits of the recommended vaccine(s) If (I) my child (do) does not receive the vaccine(s), the consequences may include: Contracting the illness the vaccine should prevent (The outcomes of these illnesses may include but are not limited to one Guidance for approved Alternate Certificates of Immunization from select states; Notice of Immunization Requirement and In-Process Form. The following conditions constitute a medical exemption from COVID-19 immunization: Had an anaphylactic reaction following the first dose of a COVID-19 vaccine, has been assessed by an allergist/immunologist, and future doses of any COVID-19 vaccine (viral vector or mRNA) are contraindicated, Developed a serious adverse event following COVID-19 Sep 2, 2021 · Sept. 19, 2021 6 AM PT. "I am not antivaccination. a vaccine-preventable disease Vaccines were developed to protect people from danger-ous and often fatal diseases. Children need not be immunized if a physician or the physician’s designee provides a written statement that immunization may be detrimental to the health of the child. 6. Box 43692 Lafayette, LA 70504-3692 Phone: (337) 482-1293 Fax: (337) 482-1872 Meningococcal - At a minimum of 1 dose given at 16 years of age or greater if enrolling in public institution for the first time and under 22 years of age and living in on-campus housing; private institutions set their own requirements for this vaccine. school entry. Feb 19, 2015 · Religious Belief Exemption: Any such child who presents a statement from the parents or guardian of such child that such immunization would be contrary to the religious beliefs of such child shall be exempt from the appropriate provisions of this section. : Position: Manager: . Form #: GSA19R. Mar 25, 2015 · Many of these reasons center on concerns about vaccine safety and a reported lack of belief in the need for vaccination. The specific legislation requiring immunizations for entering daycare centers or schools is found in Louisiana Immunization@FLHealth. It establishes an immunization goal of 95% of each school's student population and requires Aug 16, 2021 · PLACER COUNTY, Calif. In a separate ruling, the court voted in favor of a vaccine mandate for workers employed at healthcare facilities that receive federal funding through Medicare and Medicaid. City Birthdate (mm/dd/yy) Section 1a. Statements Nov 18, 2021 · The forms to file exemptions can be found on www. Date Employee Signature. Florida employees can choose to be exempt from private employer vaccine mandates for: Specifically, in regards to employers' COVID-19 Whether your religious objection is to the use of all vaccines, COVID-19 vaccines, a specific type of COVID-19 vaccine, or some other subset of vaccines. Connecticut Child Care Immunization Law – CT Gen Stat § 19a-79. If you have questions about receiving a workplace vaccine exemption, contact your employer directly. Religious affiliated schools or child care centers shall have the authority to withhold or grant a religious exemption from the required immunization for pupils entering or attending their institutions without challenge by any secular health authority. from receiving the COVID-19 Vaccine based on the following reason (check one): _____ A health care practitioner has provided a signed written statement that, in the health care practitioner’s opinion, receiving a COVID-19 Certificate of Exemption From Rabies Vaccination. Clinicians should also provide the traveler with a signed and dated exemption letter on letterhead stationery, clearly stating the contraindications to vaccination (e. This medical reason is (please indicate only one): Permanent. Respiratory syncytial virus (RSV). 84. This is persuasion 101. Parents and guardians should indicate which required vaccines are being exempted from on the Religious Immunization Exemption form. In order to qualify for a religious exemption please describe below your religious belief, practice, or observance, and how these prevent you from receiving COVID-19 vaccination. Accommodation Request Form – Medical Exemption From COVID-19 Vaccine. ”. HRBP@TriHealth. Aug 3, 2020 · Purpose: To provide physicians licensed to practice medicine in North Carolina, a mechanism to certify, pursuant to G. The updated and expanded COVID-19 technical assistance adds a new section with information related to requests by applicants or employees seeking to be excused from COVID-19 vaccination requirements due to sincerely held religious beliefs, practices Immunization Record Validation Tips: PDF: 03/2020: 11-15748: Acceptable Evidence of Vaccinations: PDF: 06/2020: None: Letter to Superintendent, Administrator, and School Health Staff - Bilingual: PDF: 03/2024 None: Letter to Parents - Required K-12 Immunizations for the 2023-2024 School Year - Bilingual: PDF: 03/2024 None Immunization Requirements. However, if there is an outbreak of a vaccine preventable disease in your child's daycare or school, and your child has not been vaccinated against that disease, your child may have to be excluded from school for their protection until it is determined that it is A parent may claim an exemption to immunization for medical, religious, or personal reasons, as allowed by Section 53G-9-303 of the Utah Statutory Code. § 2105. DHRM Contact List. Whether you have received vaccines as an adult against any other diseases (such as a flu vaccine or a tetanus vaccine). AFFIDAVIT OF. My child is an adherent of a religious denomination whose religious teachings are. floridahealth. There are two general types of vaccine exemptions: medical and administrative. When both are completed, you must submit the form to your supervisor. Current Revision Date: 02/2022. Check here if religious exemption to immunization selected by parent/guardian. Renew their exemption form every year. Send completed form and supporting documentation to. Note: The parent/guardian or student over 18 years of age must sign the form in front of the notary. I, (Printed Name of Individual Claiming an Exemption) , declare that I am claiming an exemption. (patient’s full name), (date of birth): Has a medical contraindication and/or medical reason precluding full vaccination against COVID-19 as described by the National Advisory Committee on Immunization. Government-wide policy requires all Federal employees as defined in 5 U. The American Veterinary Medical Association (AVMA) strongly supports the National Association of State Public Health Veterinarians' (NASPHV) recommendation that all dogs, cats, and ferrets should be vaccinated to protect against rabies infection. We have drawn on the wisdom of many others in this process and have particularly benefitted from the labors of […] Oct 17, 2019 · During the 2017-18 school year, there were about 121,000 children enrolled in public, private and religious kindergarten classes in North Carolina. g. Massachusetts Department of Public Health Guidance on COVID Exemptions: Practitioners (Advance Practice Registered Nurses, Physician Assistants) who grant vaccination or mask exemptions must have a provider-patient relationship with the person who is the subject of the exemption and a legitimate Immunization Exemption Guidance. Third, lead into the light. What are the arguments for vaccine exemptions? TEMPLATE. If a physician determines the need to request a medical exemption from a required immunization for a patient and needs assistance, they should contact the North Carolina Immunization Branch at (919) 707-5550. Exemption from immunization. A letter from a leader within your religious organization supporting your belief that your Request for Religious Accommodation. 5. LA County Employee Hotline at (833) 990-2352. Apr 24, 2024 · Make your own form stating your non-medical objection to specific immunization (s) and sign it and have it notarized. A doctor writes 5 or more medical exemptions per year beginning January 1, 2020. Please describe below why your sincerely-held religious belief, practice, and/or observence preclude you from receiving the influenza vaccination. Please describe whether, as an adult, you have received any vaccines against any other diseases (such as a flu vaccine or a tetanus vaccine) and, if so, what vaccine you most recently received and when, to the best of your recollection. MyHR COVID-19 Vaccination Accommodation ExemptionLAC DHR. In certain circumstances, Federal law may entitle a Federal employee who has a religious objection to the COVID-19 vaccination requirement to an exception from that requirement, in which case the employee would instead comply with Oct 28, 2021 · The EEOC published a sample form that employers can use for religious accommodation requests from workers, which have risen as Covid-19 vaccine mandates proliferate in the workplace. Please complete your Immunization Exemption Application, print it, sign it, have it notarized, and return it to the Arkansas Department of Health Immunization Section. with determining whether an exemption is consistent with the rule requirements, the Department drafted the attached Request for Medical Exemption from Mandatory Immunization form that may be used for medical exemptions. When the physician determines that immunization is no longer detrimental to the health of the child, the child shall be immunized according to this subchapter. Child's Name (Last name, first name, middle) Parent/Guardian Name (Last name, first name, middle) Phone (please include area code xxx-xxx-xxxx) Address. Personal Beliefs Exemption Letter to families dec 13. Nov 12, 2021 · I am requesting a religious exemption from the vaccine, because as a Christian, it is my sincerely held belief, as based on the clear and explicit teaching of God’s Inspired Word, the Holy Bible, that taking the COVID-19 vaccine would be a sin, and therefore a violation of my Christian faith and devotion to God. Dear Families, Effective January 1, 2014, parents who want to exempt their child from one or more required immunizations because of their personal beliefs must provide to the school or child care facility: v A letter or affidavit requesting an exemption that states that the required 2023 Medical Exemption Application will be accepted for July l, 2022, through June 30 2023. Request for Medical Exemption from Seasonal Influenza Vaccination. Employers can use these sample letters to respond to an employee’s request for COVID-19 vaccination exemption or accommodation. 8. 62 covers the conditions under which students can ask for an exemption from getting immunizations at their school or college. 4. Email vaxexemption@hr. Roughly 2,600 Los Angeles Police Department Medical exemptions for required immunizations will only be granted upon submission of either a Medical Exemption Statement (DHHS 3987) or Physicians Request for Medical Exemption (DHHS 3995). Dear (Name of Health Care Provider): As the (mother/father/legal guardian) of the child named below, I am writing to request a medical exemption from the vaccine(s) and listing the reason(s) below. Jul 14, 2023 · To request a religious exemption from one or more required vaccinations for Mississippi school entry, the parent or guardian must complete the MSDH Religious Exemption Request (Form 139-R) and submit to the County Health Department (appointment is required: 855-767-0170). 53G-9-303. Note that this certificate is valid for one year from date of exam. (1) A student is exempt from the requirement to receive a vaccine required under Section 53G-9-305 if the. opposed to such tests or inoculations that are required by Kansas state law for. When it is determined that this particular vaccine is no longer contraindicated, the child will be required to have the vaccine, per RCW 28A. Religious Exemption. Parents/guardians can also use it to provide proof of a student's in-process vaccination plan. If they are in the United States military. Aug 17, 2021 · ROCKLIN, Calif. Jan 13, 2022 · January 13, 2022 Update: The Supreme Court ruled to block the proposed vaccine-or-test mandate for large employers (businesses with 100 employees or more). Name (print): Date: Dept. Sep 29, 2021 · Vaccine mandates have been called key by Governor Steve Sisolak and President Biden has pushed for them for large businesses. 9, 2021, it seems there are plenty of leaders offering ways to get exemptions – especially religious ones. Find out how to talk to patients about cultural, ethical and religious vaccine exemptions and stay abreast of the news surrounding the ethics of mandatory You are invited to submit additional documentation supporting your application for exemption from the COVID-19 vaccination requirement based on a sincerely held religious belief. I am aware that in the event of an outbreak or suspected case of a vaccine-. First vaccine to make no clear claims about reducing infections, transmissibility, or deaths. Work/Cell EXEMPTION FROM IMMUNIZATIONS DECLARATION Student Health Services • P. Vaccination programs are important to military public health and readiness. At that time the animal must either be vaccinated against rabies or, if exemption status still applies, a new certificate must be issued. I have sincerely held religious beliefs or practices that prohibit me from receiving the influenza vaccine. Beginning with ideology or polemic statements is a recipe for failure. Table 1. A review of all religious exemption requests for completeness will be immunization of their child to provide a written sworn statement objecting to immunization of the child on religious grounds. By Douglas Laycock, University of Virginia. § 23. REQUEST FOR A RELIGIOUS EXCEPTION TO THE COVID-19 VACCINATION REQUIREMENT. If completed via email, then the completed form must be submitted through Medical exemptions are completed by the child’s healthcare provider. (Social, political, or personal preferences are not “sincerely held religious beliefs To request a medical exception or delay from the COVID-19 vaccination requirement using this form: You should complete Part 1 of this form. 2/2020. Influenza or “flu” is a serious respiratory disease that can be deadly. S. Have you received a religious exemption for any vaccine requirements in the YES NO If Yes, please provide additional details, including which vaccine(s) the exemption was for, when you were granted the exemption, the religious belief underlying the exemption request, and whether you were employed by UPHS at the time. Healthy babies and toddlers are especially vulnerable to complications from A health care practitioner may grant a medical exemption to a vaccine required by rule of the Washington State Board of Health only if in their judgment, the vaccine is not advisable for the child. yn gt lr cw ei wu zs jw pr yf