covid vaccine exemption form washington for adults

Form: GSA19R Request for a Religious Exception to the COVID-19 Vaccination Requirement Form is for GSA employee use only. If you're allergic to something in one of the vaccines, you might be able to get another one of the vaccine brands available, since some of the ingredients are different in each one. Some employees say theyd rather quit than get the vaccine. Step 1: Log into the secure Vaccination Exemption Request tool (UW NetID and DUO log-in required) to complete a series of questions required to process your religious exemption request. In Oregon and Washington, employees seeking a vaccine exemption will have to fill out a request form which their employer will then review. PK ! In response to the Department of Health and Human Services declaring COVID-19 a public health emergency in January 2020, states may be more inclined to mandate all medically cleared persons get a COVID-19 vaccine without allowing religious and philosophical exemptions. I acknowledge that I am aware of the following: the United States since the pandemic started. The University has not added a booster shot requirement to its definition of fully vaccinated. Any changes to the Universitys overall vaccination requirements will be made in accordance with changes to health conditions and/or state and local public health requirements. If yes, what is the expected duration? If you are requesting one of those exemptions, you must complete a new exemption documentation process, even if you previously claimed an exemption in Workday. Save the completed and signed form in a PDF format under 25 MB. Ultimately, decisions will be determined on a case-by-case basis by individual employers. PORTLAND, Ore. Most state employees in Oregon and Washington, as well as all K-12 school staff and health care workers, must be fully vaccinated against COVID-19 by Oct. 18, or they risk . Certificate of Exemption - Washington State Department of Health The Seattle Indian Health Board (SIHB) received 500 doses of the FDA-approved Moderna COVID-19 vaccine today. He graduated from Western Washington University with a bachelor's degree in journalism. The faculty in the Center for Health & Pharmaceutical Law continue to work closely with law students who are researching COVID-19 topics. medical or religious exemption as set forth below. Below are a few conditions for which an employer may grant a medical exemption: Vaccine allergies: A common ingredient in pharmaceutical products, Polyethylene glycols (PEG) are used as a stabilizing agent in the Pfizer and Moderna vaccines. You can read that full document at this link. <>/Font<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> To be fully vaccinated and thus in compliance with the requirement by the Oct. 18 deadline you must start your vaccinations no later than the following dates: The deadline to start the first dose of the two-dose Moderna vaccine was Monday, Sept. 6. <>/PageLabels 495 0 R>> A sign directs patients at a COVID-19 vaccination clinic on the University of Washington campus on May 18, 2021 in Seattle, Washington. About thirty-five states, by constitution or statute, provide that any substantial burden on religious exercise must advance a compelling or substantial state interest and must be necessary or the least restrictive means for advancing that interest. The cost of waiting: COVID vaccine is now 65% effective, but still prevents major illness When we began this year, the Food and Drug Administration estimated that our COVID-19 vaccines were. Otherwise, Tippett said, the questioning can come across as harassment. Note that the proclamation does not allow for a philosophical exemption and prohibits providing accommodations that are known to be based on false, misleading, or dishonest grounds or information; and/or are based on the personal preference of the individual. Guidance allows for employers to consider the proportion of vaccinated employees in the workplace and the requesters contact with non-employees as a part of their calculation. (1) Any child shall be exempt in whole or in part from the immunization measures required by RCW 28A.210.060 through 28A.210.170 upon the presentation of any one or more of the certifications required by this section, on a form prescribed by the department of health: Jay Inslee's sweeping COVID-19 vaccine mandate impacts more than 800,000 workers in Washington state, though it remains unclear how strictly the requirement will be enforced when it comes . The form must be completed by a licensed healthcare provider and submitted according to the instructions on the form. For example, personal and philosophical objections were allowed for the measles, mumps and rubella vaccineuntil the state Legislature axed them amid a measles outbreak in Washington in 2019. How exactly to define a religious belief, an accommodation and an undue hardship in the context of the vaccine mandate are largely left to the discretion of individual employers. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Step 1: Log into the secure Vaccination Exemption Request tool (UW NetID and DUO log-in required) to complete a series of questions required to process your religious exemption request. WASHINGTON (AP) The military services are still reviewing possible discipline of troops who refused the order to get the COVID-19 vaccine, defense officials told Congress on Tuesday, and they provided few details on how many of those who were forced out of the military would like to return. If you forget it, you'll be able to recover it using your email address. Heres the takeaway: You may be able to have your doctor document that you should receive a medical exemption for whatever reason, but that in no way guarantees that your employer will grant it. If they are employed by the University, they must also verify their vaccination status as described in the next section (Personnel, including student employees). Korin Miller is a freelance writer specializing in general wellness, sexual health and relationships, shopping, and lifestyle trends, with work appearing in Womens Health, Self, Prevention, Forbes, Daily Beast, and more. R7giAfzAU$6:)rP@JJJ#WF3{yf Still, if you happen to be allergic to any ingredient in one COVID-19 vaccine, experts recommend investigating to see if you can get another vaccine. Note: Students enrolled in health sciences programs that participate in the Health Sciences Immunization Program (HSIP) should follow HSIP processes and deadlines. Oregon's vaccination requirements specify that employers must take "reasonable steps" to ensure unvaccinated employees are not contracting or spreading COVID. Hundreds of thousands of Washington workers will need to be fully vaccinated against COVID-19 by Oct. 18. "I wish we could say there's one checklist you can go down to determine whether a religious belief is sincerely held but that isn't really the case. Rochelle Collins, DO, is a board-certified family medicine physician and assistant clinical professor of family medicine at Quinnipiac University. . The governor did not want any additional exemptions beyond whats required under law, he said. After answering a few questions about your vaccination, you will then upload documentation such as a vaccination card or other proof of vaccination for review by the UWs Hall Health Center. Form is for GSA Employee use only. The following messages were sent to UW campus employeeswho had not yet attested to being fully vaccinated against COVID-19, or who had previously claimed a medical, religious or philosophical exemption in Workday: COVID-19 vaccination is now a condition of employment per Governor Inslees vaccination proclamation 21-14.1. Those seeking a medical exemption will need to fill out this form and have it signed by a medical provider certifying that they should not receive the COVID-19 vaccine. more than a dozen firefighters have said they plan to quit, School District Template Religious Accommodation Request Form COVID Vaccine Requirement, Spokane man arrested for 1979 murder in California, 'It's a crazy opportunity': Davenport High School boy's basketball team looks to make history, Drug trafficking suspect arrested in Post Falls, Spokane City Council passes rental reform package, Expect colder weather to continue well into March, Spokane Valley City Council votes to sign joint statement, address Spokane County homelessness, Light snow overnight; I'm tracking less than 1" of snow for a slick Thursday morning commute - Kris, Expect extra patrols through North Idaho for aggressive drivers, Cheney City Council defers ordinance to redevelop mobile home park property, CDA Public Schools asks voters to pass two crucial levies. She consulted with Professor Carl Coleman and Professor Angela Carmella on her research. The template religious accommodation request form includes a question about the conflict presented, the guidance continues. Completed forms should be submitted via the online Vaccine Verification website and will be routed to the appropriate UNM office for review and approval. to communicable disease . 2105 DOWNLOAD THIS FORM: Choose a link below to begin downloading. Faculty, librarians and other academic personnel who are unable to provide proof of full COVID-19 vaccination and are not approved for a medical or religious exemption and accommodation will not be able to engage in work for the University of Washington after Oct. 18, 2021 and will be subject to separation from the University of Washington in compliance with provisions of relevant employment policies and labor contracts. The form must be completed by a licensed healthcare provider and submitted according to the instructions on the form. You are considered fully vaccinated two weeks after your last dose, whether that is the second dose for the Moderna and Pfizer vaccines or the single dose of the Johnson & Johnson vaccine. The states that offer medical, religious, and philosophical exemptions see philosophical exemptions becoming the majority of exemptions. A condition of employment means you cannot be employed by the University if you are not vaccinated and do not have an approved exemption. Request for a Medical Exception to the COVID-19 Vaccination Requirement. Most of public health has been left up to private employers, Tippett said. This article summarizes safety in adult recipients (aged 18 . Cancer: Most people with cancer dont mount an immune response to vaccines. You will not be able to enroll in classes until you complete this requirement. Annual Health Law Symposium focusing on Long Term Care Services and Supports is now Scheduled for March 1, 2022, Title IX Nondiscrimination Statement and Information. When fully vaccinated: We appreciate your cooperation and support in this effort as we work together to ensure that the University community remains a safe place for everyone. SEATTLE, WA - DECEMBER 21: Colleen D Amico, a clinical pharmacist with Seattle Indian Health Board (SIHB) administers a shot of the Moderna COVID-19 vaccine, to frontline workers at the SIHB on December 21, 2020 in Seattle, Washington. Overview of COVID-19 Vaccines. Thomas said state agencies will report such information every two weeks, including how many requests are granted. The medical exemption request form requires a health care. 4 0 obj Jay Inslee issued in response to surging cases and hospitalizations across Washington, fueled by the highly contagious Delta variant of the coronavirus. The COVID-19 vaccine verification webpage provides additional details about the vaccination verification process for personnel. At the UW, the vaccination verification process is coordinated at the department/appointing unit level and facilitated by your Workday HR Partner, Academic Partner or I-9 Coordinator. Interim clinical considerations for use of COVID-19 vaccines currently approved or authorized in the United States. endobj Advocates for the mandates have voiced concerns that people without strong religious convictions will seek a religious exemption to avoid getting a vaccine. Do you have something you want us to Verify? Getting the COVID-19 Vaccine: What to Expect Before, During, and After Your Appointment, Is the COVID-19 Vaccine Safe for Everyone? Submitting this form below will send a message to your email with a link to change your password. Employees seeking accommodation are not entitled to disrupt a workplace, she said. This applies to all personnel who receive compensation from the University such as wages, stipends, or fees, unless specifically excluded in the policy. Colleen D Amico, a clinical pharmacist with Seattle Indian Health Board (SIHB) administers a shot of the Moderna COVID-19 vaccine, to frontline workers at the SIHB on December 21, 2020 in Seattle, Washington. (Photo by Grant HINDSLEY / AFP) (Photo by GRANT HINDSLEY/AFP via Getty Images). Jay Inslees sweeping COVID-19 vaccine mandate impacts more than 800,000 workers in Washington state, though it remains unclear how strictly the requirement will be enforced when it comes to exemptions. 1 0 obj As of Nov. 1, 2022, volunteers, suppliers, vendors or contractors working on site at a UW facility are no longer required to be vaccinated, however vaccination is strongly recommended for these groups. Employees may not ask colleagues about their vaccination status. Omicron and Crisis Standards of Care: How are Hospitals Responding to the Challenge? What are the approved exemptions when it comes to the COVID-19 vaccine? Iy-O=g\RJ)/"Tp^z{/?}?Oz=?}.O|??s0j? The Washington State Department of Transportation has posted both the religious and medical exemption request forms online. ill health or death. California relied on Prince in 2015 to eliminate religious vaccine exemptions when the state experienced a measles outbreak. Refer to the University's COVID-19 Vaccination Requirements for additional information. Employees can seek a vaccine exemption for medical or religious reasons but employers can ask additional questions to verify the request. When Governor Inslee made the announcement in mid-August, it wasnt yet clear what would qualify as a religious exemption. The Governors proclamation requires that employees who are unable to provide proof of full COVID-19 vaccination and are not approved for a medical or religious accommodation must be terminated from University of Washington employment on Oct. 18, 2021. Fifteen states allow philosophical objections to vaccines. The medical and religious exemption process for current employees is closed. Health experts say such allergies are rare. It asks the employee to describe the religious belief, practice, or observance that is the basis for [the] religious exemption.. Here's a breakdown. Our study aimed to characterize the optimal strategy to improve vaccine induced protection against COVID-19 in children and adolescents with cancer. UW workers and Health Sciences Immunization Program (HSIP) students: This form must be completed by a licensed health. When announcing his proclamation last month, Inslee said individuals can seek exemptions for religious or medical reasons, but political or philosophical objections wont be honored. They may need to do both in some instances. Not every employer will have the exact same approach, but its important that what they do stays in line with the law, said Faulk, the governors office spokesperson. Seven states, including Arizona, Arkansas, Michigan, Oregon, Utah, Vermont, and Washington, mandate parents read educational material before exempting their children from vaccines. YES NO 3. Current Revision Date: 02/2022. SPOKANE, Wash State employees required to get the COVID-19 vaccine now have a way to request religious and medical exemptions. (Photo by Karen Ducey/Getty Images). The first mandate, issued on Aug. 9, applies to most state employees and thousands of health care workers in the private sector. Employees may use release time as needed to get their vaccine. The Governors proclamation allows for reasonable accommodation for medical or religious reasons and requires employees to complete a new exemption documentation process, even if you previously claimed an exemption in Workday. These are the only roles authorized to verify proof of vaccination. COPYRIGHT 2022 BY KXLY. Educators speak on Gov. All states and the District of Columbia allow a medical exemption. Step 3: You will be notified by email if you are approved for an exemption and if so, what the parameters are for your accommodation. . "The same is true for those who have known allergies to the ingredients of one of the vaccines.". At a Wednesday news briefing, state Secretary of Health Umair Shah said 95% of those now in Washington hospitals with COVID were not vaccinated when they were admitted. Results from The SerOzNET study will contribute comprehensive data on serology, cellular immune correlates from functional T-cell assays, quality of life data . However, there are no known medical conditions that absolutely prevent a person from getting a COVID-19 vaccine. Though some healthcare facilities require healthcare workers to get vaccinations for vaccine-preventable diseases, no state requires vaccines for adults. Gov. The state of Washington's religious exemption request form asks employees to assert two things: That that you have a sincerely held religious belief or religious conviction that prevents you. THIS MATERIAL MAY NOT BE PUBLISHED, BROADCAST, REWRITTEN OR REDISTRIBUTED. 3 0 obj Gov. Many have said they object to getting vaccinated because cells derived from the tissue of aborted fetuses were used to test the efficacy of the Pfizer and Moderna vaccines, and such cells were used to produce the Johnson & Johnson vaccine. To truly eradicate the virus, vaccine mandates will need to be broader and stricter than existing school vaccination requirements. Start by talking with your employer. All fifty states allow immunization exemptions for medical conditions. The proclamation does not allow for a philosophical exemption and prohibits providing accommodations that are known to be based on false, misleading, or dishonest grounds or information; and/or are based on the personal preference of the individual. Other state agencies are also posting forms employees must fill out for both religious and medical exemption requests. You can read that full document at this link. Though the top leaders at most major organized religions support and do not categorically ban vaccinations, legal experts say religion is so broadly defined that individuals may still claim religious exemptions. In some instances, those with vaccine allergies or specific underlying health conditions may be advised to wait to get a COVID vaccine. The second mandate, issued on Aug. 18, applies to thousands of employees in the states K-12 schools, universities and colleges, and childcare centers. adult family homes, settings where . At a Wednesday news briefing, state Secretary of Health Umair Shah said 95% of those now in Washington hospitals with COVID were not vaccinated when they were admitted.The only way workers can avoid being vaccinated without being fired is to receive a medical or religious exemption. The fact that states allow school-aged children to claim vaccine exemptions for diseases that are not prevalent in the United States does not mean states will apply identical exemptions for all populations when a COVID-19 vaccine is available. U~ _rels/.rels ( MK1!;*"^DMdC2(.3y3C+4xW(AyXJBWpb#InJ*Eb=[JM%a B,o0f@=a noA;Nv"ebR1REF7ZnhYjy#1'7 9m.3Y PK ! Guidance for medical exemptions for COVID-19 vaccination can be obtained from the Advisory Vaccination attestation information is private and confidential: 2023 University of Washington | Seattle, WA, enhanced protection against current COVID-19 variants, Final candidate guide to COVID-19 vaccination requirement, use up to two hours of paid work time to get a booster shot, Health Sciences Immunization Program (HSIP), required to receive the primary COVID-19 vaccine, COVID-19 Vaccination Medical Exemption Form, Submit your request and upload the form via the secure portal, COVID-19 Vaccination Student Religious Accommodation Request Form, COVID-19 Vaccination Student Temporary Extension Request form, Vaccinate WA: COVID-19 Vaccine Availability, Centers for Disease Control and Prevention COVID-19 vaccines page, Washington Department of Health COVID-19 vaccines page, Public Health Seattle & King County COVID-19 vaccines page, Tacoma Pierce County Health Department COVID-19 vaccines FAQ, Exception: Students in health sciences programs requiring participation in the Health Sciences Immunization Program (HSIP) should follow the processes and deadlines of the, Students who are also employed by the University need to complete the student form. Ask your licensed healthcare provider (MD, DO, ND, ARNP, PA) to complete the rest of the form and return it to you. Ruling otherwise, the court explains, would open the floodgates to constitutionally required exemptions from civic obligations of almost every conceivable kind.. If states decide to require a COVID-19 vaccine, who will be exempted from getting it? Medical exemption and accommodation: If you have an underlying medical condition and/or disability that prevents you from receiving an authorized COVID-19 vaccine, your healthcare provider must complete the UW COVID-19 Medical Exemption Form, which will be reviewed by UW Environmental Health & Safety (EH&S). The 1944 Supreme Court case, Prince v. Massachusetts, explained the right to practice religion does not include [the] liberty to expose the community . All 50 states, Washington, D.C., and all U.S. territories have laws mandating vaccination for entry into school and childcare, the Centers for Disease Control and Prevention (CDC) explains.. COVID-19 Vaccines: Who will be exempted from a COVID-19 vaccine? A COVID-19 vaccine exemption based on medical reasons is covered under the Americans with Disabilities Act and RCW 49.60, the state's law requiring reasonable accommodation. Students planning to be vaccinated should wait until after receiving their last shot before completing the verification process. Step 1: Download the UW COVID-19 Medical Exemption Form and complete the Patient section. "For example, if someone had a severe allergic reaction to dose one of the mRNA vaccines, they could complete their series with the Johnson & Johnson vaccine," said Dr. Adalja. Verification | Deadlines | Booster shots | Exemptions | Privacy protections. UW employees are allowed to use up to two hours of paid work time to get a booster shot. The medical conditions that qualify for an exemption may vary depending on the employer. The two-day clinic, in partnership with Safeway, Dicks Drive-In Restaurants, and the Seattle Metropolitan Chamber of Commerce, is offering newly-vaccinated patients a free Dicks burger when they leave. University personnel and students submit theCOVID-19 Vaccination Medical Exemption Form(Word) to initiate University review. That includes state employees, health care workers, teachers, school volunteers and coaches. Health's content is for informational and educational purposes only. Jessica Kriegsfeld is a J.D. The forms to file exemptions can be found on www.floridahealth. Under the Americans with Disabilities Act, people have a right to seek a medical exemption from a mandatory vaccine. School districts will also have complete authority on religious accommodations decisions, said Katy Payne, spokesperson for the superintendents office. "An employer does have a right to ask some follow-up [questions] about the reasonable accommodation that the employer may be providing in order to allow that person not to get vaccinated, said Duty. No state has made determinations about a mandatory COVID-19 vaccine. COVID-19 Mu Variant Named a 'Variant of Interest'Here's What You Need to Know, What To Do if You Have an Allergy to a COVID-19 Vaccine, Pfizer-BioNTech's COVID-19 Vaccine Ingredient List, COVID-19 Vaccine SheddingWhy Vaccine Shedding Won't Happen. Each state's vaccine exemptions vary. While I understand and respect freedom of religion, New York Governor Cuomo said in a 2019 interview, our first job is to promote the public health.. Students must have completed the Student COVID-19 Vaccine Verification form or submitted a request for an exemption prior to registering for classes. However, as the situation surrounding COVID-19 continues to evolve, it's possible that some data have changed since publication. GSA19R-22.pdf [PDF - 678 KB ] PDF versions of forms use Adobe Reader . If you got the "active" vaccine, you are considered fully vaccinated 2 weeks after you complete the vaccine series. The latest changes in state vaccine guidelines show expanded vaccination requirements, possibly in an attempt to quell these increases in vaccination exemptions. That is the story of this entire pandemic. What medical conditions do qualify vary by institution, and the decision will ultimately be left to your employer. The accommodations can include job reassignment, changes to a job description or schedule, and allowing remote work, as well as requiring masks, social distancing or regular testing. Employees will receive notice in advance of their scheduled termination consistent with the rules of their collective bargaining agreement and/or their employment program. Individuals who receive exemptions may be required to follow additional safety measures. <> However, current evidence suggests that COVID vaccines do not increase the risk of miscarriage or other complications. Here's Who Should (and Shouldn't) Get It, ShinglesHerpes ZosterInfection May Be Linked to the COVID-19 Vaccine, New Omicron Booster Side Effects: What to Expect From the Bivalent Vaccines, FDA Grants Emergency Use Authorization for Novavax's COVID-19 Vaccine, Why the FDA Restricted Use of Johnson & Johnson's COVID-19 Vaccine, The Johnson & Johnson Vaccine and Blood Clots, Side Effects From the COVID-19 Booster Shot, COVID-19 Vaccines for Kids 12 to 15: Your Biggest Fears Addressed by Experts, CDC: Consider an mRNA Shot If You Received a J&J Vaccine and Booster, What to Know About Monkeypox Vaccine Side EffectsEven With a Lower Dose, Interim clinical considerations for use of COVID-19 vaccines currently approved or authorized in the United States, Lipids ((4-hydroxybutyl)azanediyl)bis(hexane-6,1-diyl)bis(2-hexyldecanoate), 2 [(polyethylene glycol)-2000]-N,N-ditetradecylacetamide, 1,2-Distearoyl-sn-glycero-3- phosphocholine, and cholesterol), Lipids (SM-102, 1,2-dimyristoyl-rac-glycero3-methoxypolyethylene glycol-2000 [PEG2000-DMG], cholesterol, and 1,2-distearoyl-snglycero-3-phosphocholine [DSPC]), Recombinant, replication-incompetent adenovirus type 26 expressing the SARS-CoV-2 spike protein. In Oregon, employees seeking a religious exemption will need to fill out this form, describing the religious belief and how it prevents them from receiving a COVID-19 vaccine. Submit your completed UW COVID-19 Medical Exemption Form using the link provided by your hiring manager or recruiter. For UW personnel, vaccination is a condition of employment as of Oct. 18, 2021. %PDF-1.5 The deadline to provide this documentation is prior to orientation and registration. 20 UW Environmental Health & Safety Department | 201 Hall Health Center, Box 354400, Seattle, WA | Tel: 206.543.7262 | Fax: 206.543.3351 | ehsdept@uw.edu, Fume Hoods: Use, Inspection and Maintenance, Building Emergency Procedures and Resources, Fire Code Hazardous Materials (HazMat) Compliance, Radiation Detection Instrument Calibration, Use of Radiation in Human Subjects Research, UW Research & Training Building Remediation, Asbestos and Other Regulated Building Materials, Hazardous Energy Control - Lockout/Tagout, COVID-19 Vaccination Medical Exemption Form (updated 2/3/23), 2/3/23: Added "date of patient visit must be within 90 days of form submission.". You, _____[employee name] affirm/agree that you have never received a vaccine or medicine from a health care provider as an adult. Vaccination documentation or exemption requests are reviewed as part of the hiring process for new employees. COVID-19 Vaccination Medical Exemption Form. Inslee over COVID-19 vaccine mandate. Communicate to your hiring manager or recruiter that you wish to request a medical or religious exemption. Alec Regimbal is a politics reporter at SFGATE. However, this might not mean that you can't be vaccinated at all. This email serves as a reminder that COVID-19 vaccination is now a condition of employment per Governor Inslees vaccination proclamation 21-14.1. In certain circumstances, Federal law may entitle a Federal employee who has a religious objection to the CO-19 VID Download the COVID-19 Vaccination Student Temporary Extension Request form to request a deadline exemption. This is why youre asked to wait 15 minutes before leaving a clinic after receiving a vaccine youre being monitored for anaphylaxis. If you do happen to qualify for a medical exemption, it will likely be in the form of a doctor's note, said Dr. Schaffner. More information is available via UW Medicines The Huddle. Courts have ruled, in general, that the obligation to provide an accommodation for employees with a disability is higher than the obligation for an employee with a religious belief, Tippett said. steve podborski wife, Decide to require a COVID-19 vaccine: what to Expect before, During, and after your Appointment, a. Choose a link to change your password graduated from Western Washington University with a to. Professional medical advice, diagnosis, or observance that is the basis for [ ]... Instructions on the form mean that you ca n't be vaccinated should wait until after receiving a vaccine Privacy.... To its definition of fully vaccinated against COVID-19 in children and adolescents with cancer mount! The states that offer medical, religious, and after your Appointment, is the basis for [ ]. 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