Fundraiser for CourtroomWatch.com

If you have found value in the documents and assistance that Eric Jones of courtroomwatch.com has provided, please consider donating to a fundraiser for him. Here’s the link. You can read more details inside the fundraising program. Any amount, small or large, is very much appreciated.

If you prefer to mail a check, please make it payable to:
Eric H. Jones
PO Box 86
Spring Brook, NY 14140

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vaccine refusal declaration

Print this declaration when an individual is requesting you, or someone you love, to take a vaccine, and you are choosing to refuse.

Complete the cover page by inserting the name & address of the person it is from (probably yourself), and then complete the recipient information, and date.

In the body of the letter, fill in this way:

I, (first name here) : (last name here) Family; respectfully require no vaccination be administered to myself or __(on this line place the name of your loved one, if it’s not you personally) _______ as it would be a violation…

Example:

I, John : Smith Family; respectfully require no vaccination be administered to myself or __my daughter, Princess Leah Smith _______ as it would be a violation…

In addition, print the attachment below, The Vaccine Liability Letter (Attachment C). Place this within the Refusal Declaration, following attachment B (page3) and before attachment D (page 4). This will expand the initial Declaration by 7 additional pages, for a document of 24 total pages.