ARMY DIR 2021-33 — Approval And Appeal Authorities For Military Medical And Administrative Immunization Exemptions
ARMY DIR 2021-33 governs approval and appeal authorities for medical and administrative exemptions from mandatory immunizations.
- Publication number: ARMY DIR 2021-33
- Title: APPROVAL AND APPEAL AUTHORITIES FOR MILITARY MEDICAL AND ADMINISTRATIVE IMMUNIZATION EXEMPTIONS
- Date: 09/24/2021
- Proponent: TSG
- Status: ACTIVE
View ARMY DIR 2021-33 on armypubs.army.mil
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ARMY DIR 2021-33 establishes authorities for temporary and permanent medical exemption requests, religious accommodations, and other administrative exemptions. It also sets supplemental procedures, final appeal decisions, and the directive’s duration.
Applies to: This policy applies to the Regular Army, Army National Guard/Army National Guard of the United States, and U.S. Army Reserve.
Topics covered
- Temporary medical exemption requests
- Permanent medical exemption requests
- COVID-19 vaccine exemptions
- Religious accommodation requests
- Administrative exemption requests
- Immunization exemption procedures
Questions and answers
Who approves temporary medical exemption requests?
Healthcare providers are the approval and denial authorities for all temporary medical exemption requests. (paragraph 4)
How long can a temporary medical exemption request last?
Temporary Medical Exemption Requests (up to 365 days). (paragraph 4)
Who approves permanent COVID-19 vaccine medical exemption requests?
The initial approval and denial authority for COVID-19 vaccine permanent medical exemption requests is the commanding general of the regional health command where the Soldier is assigned. (paragraph 4)
Who decides appeals for permanent COVID-19 vaccine medical exemptions?
The appeal authority for COVID-19 vaccine permanent medical exemption requests is The Surgeon General, whose decisions are final. (paragraph 4)
Who decides appeals for religious accommodation requests?
The appeal authority is the Assistant Secretary of the Army for Manpower and Reserve Affairs, whose decision is final. (paragraph 4)