Exemption Request
Please complete the following with as much detail as possible. The Executive Director and Regional Directors will review your request and respond with questions and/or approval/rejection.

View list of submitted Exemption requests at https://www.emailmeform.com/builder/reports/QJ62176qdpeRm32B
  • Provide detailed reason/justifications for your exemption request so the Director can understand and review your request.
  • You may upload a file (like a Word document) with reason/justifications for your exemption request.
  • - -
  • Image Verification
    captcha
    Please enter the text from the image:
    [Refresh Image] [What's This?]