1412 West Washington Boulevard Chicago, Illinois 60607-1821 (312) 733-7776

COVID-19 Vaccine Exemption Forms


Forms are available on the website now. It took longer than expected. Please do not submit any till Thursday. Also keep a copy for your records.If filling out the religious exemption, DO NOT fill out section III for religious leader info. It is not needed. The city is trying to get you to supply it. Your belief is YOUR belief.

Please visit the following page for information regarding vaccine exemptions.



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We pledge ourselves to promote the health and welfare of all Chicago Law Enforcement Officers and their immediate families; to raise and maintain the professional standards of the Chicago Law Enforcement Officer; and to represent Chicago Police Officers in affairs relative to the administration of the department.

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