Look through the document several times and make sure that all fields are completed with the correct information. The Office of Human Resources, New Jersey City University | 2039 Kennedy Boulevard | Jersey City, New Jersey 07305 Revised 10/28/2021 OQXOU@+l@`G%7+|6Y'* S R)A Y 2aA, 0beOZ}$`p~C?y6C2?*r?W|%{u=UQ=XWWIo,Dnp/,~+QD/~w_DNiY ]l{BB**}qq!&*UC\(Se/G5^|)J1C+^n%+HGXh#C4{0%Xo owFkFA&&, Get the religious exemption letter nj template 2007 template, fill it out, eSign it, and share it in minutes. Philosophical exemption indicates that the statutory language does not restrict the exemption to purely religious or spiritual beliefs. Show details How it works Upload the religious exemption letter for school Edit & sign religious exemption letter nj 2020 pdf from anywhere Save your changes and share religious exemption letter nj 2021 pdf Employees seeking a medical exception must submit a doctors note describing how or why the employees medical condition or disability prevents the employee from receiving the COVID-19 vaccine and cite the CDC guidelines pertaining to that medical issue by the deadline stated above. Get the answers to your questions about your case! You are NOT to be segregated or treated differently for your faith, since doing so would interfere with the free exercise of your religious rights. stream Because COVID-19 has killed over 800,000 people in the U.S. and unvaccinated workers are more likely to get COVID-19 and to transmit COVID-19 to others, employers may have a compelling argument that allowing unvaccinated workers into the workplace would be an undue hardship. You must claim the exemption using the Divisions NJ Insurance Mandate Coverage Exemption Application. NJ State Law ( NJAC 8:57-6.15) indicates that an institution of higher education shall exempt a student . Therefore, signNow offers a separate application for mobiles working on Android. By using this site you agree to our use of cookies as described in our, Something went wrong! Employment Attorney For Executives And Professionals, FINRA (Financial Industry Regulatory Authority), Request An Initial Consultation (By Phone), Request An Initial Consultation (By Text). <> On the U.S. Supreme Court level in Frazee V. Illinois Dept. In some instances, an employer will request that you complete a religious exemption form. Exemptions are available for reasons such as earning income below a certain level, experiencing a short gap in coverage, having no affordable coverage options, or enduring a hardship. All you have to do is download it or send it via email. -Read Full Disclaimer. If you qualify, you can claim this exemption for the dependent(s) you claim on your tax return. [Q)}:^+L{:n:vVtU@d6 c?c91:ti5~IC^r*R '5UI~)`IZV$/xCA!A:RcYK_2(R Find the extension in the Web Store and push, Click on the link to the document you want to design and select. (See Types of Coverage Exemptions below). Call NJPIES Call Center for medical information related to COVID: For the employee: The annual premium for the lowest cost, For the employees family: The annual premium for the lowest cost family plan is more than 8.05% of household income. If you have an ally in your doctor, go for it. Due to its universal nature, signNow is compatible with any device and any operating system. You can interpret your faith the way you see fit because it is your faith, no one else's. The user is on notice that neither the State of NJ site nor its operators review any of the services, information and/or content from anything that may be linked to the State of NJ site for any reason. Take screen shots of the forms you agreed to, if they cannot be printed. Site Maintained by Department of the Treasury, Governor Phil Murphy Lt. The most that may be required is maybe copies of your sacraments if they want to get intrusive. 18A:61D-1 specifically states that only students 30 years of age or less must show proof of vaccination, NJDOH . There are three variants; a typed, drawn or uploaded signature. The commissioner must receive and check the application form and any required documentation within 30 days of service of notice or other legal process. For instance, as a reasonable accommodation, an unvaccinated employee entering the workplace might wear a face mask, work at a social distance from coworkers or non-employees, work a modified shift, get periodic tests for COVID-19, be given the opportunity to telework (that is, to work remotely), or lastly, accept a reassignment. You can also download it, export it or print it out. The New Jersey Division on Civil Rights (the State Division on Civil Rights or the NJ DCR) has issued separate guidance on the duties of businesses under the New Jersey Law Against Discrimination (the NJLAD) and how those duties interact with New Jerseys COVID-19 vaccine mandates. [bX{7vywyypAH2}>/F] VldM5^>F*VkwZpGv&Z.. If you, the employee, request an exception to New Jerseys COVID-19 vaccine mandates because of, among other independent reasons, a sincerely held religious belief, practice, or observance, your employer must engage with you in an interactive process, or a good faith effort to assist you in seeking accommodations or assistance. Guide for checking compliance Step 1: Each child attending/enrolling must present proof of immunity or valid medical or religious exemption to vaccines. Under this guidance, employers may request additional information from you, the employee requesting a religious exception to your employers COVID-19 vaccination requirement, only in the rare cases where the employer has an objective basis to question whether you are sincere or to question whether your belief is genuinely religious in nature. The standard for assessing undue hardship under the NJLAD differs from that under federal law when considering requests for reasonable accommodation. Review the list above for direction. Unless there is no other way to request your religious exemption - DO NOT submit via the schools forms that make your agree to discrimination or manipulate your words about your faith and your reasons for exemption/exception. The whole procedure can last a few moments. %PDF-1.7 Microsoft Word - Religious-Exemption-Requestfinal.docx Created Date: 5/14/2021 6:14:52 PM . No major religion prohibits offer vaccine exemptions in exchange for online membership of his church. Disclaimer: Medicals are extremely difficult to obtain. Use this to draft your own that speaks to your beliefs. <>/Font<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 32 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> You are not alone in wanting to protect your God-given right to decide what medical procedures you decide for yourself and your family. In some circumstances, Title VII requires an employer to provide reasonable accommodations for employees who, because of a sincerely held religious belief, practice, or observance, do not get vaccinated against COVID-19, unless providing an accommodation would pose an undue hardship on the operation of the employers business. Y&+"b`,$O@0x$,``$s endstream endobj startxref 0 %%EOF 237 0 obj <>stream Create an account using your email or sign in via Google or Facebook. With the collaboration between signNow and Chrome, easily find its extension in the Web Store and use it to eSign religious exemption letter nj template right in your browser. OSHA Declination Statement Form (also, pdf) Religious exemption letter that was approved in Florida (Word) (pdf) School Vaccine Exemption Form, sample (Word) (pdf) . Review the list above for direction. %PDF-1.5 % Download your copy, save it to the cloud, print it, or share it right from the editor. If you can claim this exemption, it may apply to everybody on your tax return who doesnt have coverage in the tax year. x]{7C9dGn;=H CrXc#$q}g(K=w .~ERR|'?~HZ^ }kkjw?zovAO]kg7p?>>~ Your employer in New Jersey does not have to provide you with a reasonable accommodation if it would impose an undue hardship on the conduct of the employers business. See the following example for an Affidavit if necessary in the case where your Religious Exemption is denied. Get access to a GDPR and HIPAA compliant service for optimum efficiency. A certified copy of an application shall be retained by the commissioner for one year from the date of service. Please check your spelling or try another term. Refuse the schools forms - Submit your own letter! If you have a gap that is three months or longer, you cannot claim this exemption for any month. Start completing the fillable fields and carefully type in required information. Speed up your businesss document workflow by creating the professional online forms and legally-binding electronic signatures. Select the area where you want to insert your signature and then draw it in the popup window. 0!_1k{8S mmqWr->yAUf2 {|Y':N Gw2RB'TDt*%FJM(a*s]T[BveHN%562;ssiAu' @@bjHm#J(=s! Begin eSigning religious exemption letter nj 2020 pdf with our solution and join the millions of happy clients whove already experienced the key benefits of in-mail signing. One resource is [email protected] - Offering a combination of helping write your religious exemption only or a combined service of following up with a letter from their law firm. When a parent or guardian submits a written, signed request for eemption x from mandatory immunization(s) due to religious beliefs, the statement should be accepted and the religious exemption granted. 'DES-#Bv|1rR;*}i signNow combines ease of use, affordability and security in one online tool, all without forcing extra ddd on you. However, that does not mean that your employer can automatically terminate you if you cannot get vaccinated. A reasonable accommodation may include allowing you to continue to work remotely, or otherwise to work in a manner that would reduce or eliminate the risk of harm to other employees or to the public. 3 0 obj Religious exemption indicates that there is a provision in the statute that allows parents to exempt their children from vaccination if it contradicts their sincere religious beliefs. To submit this form, go to kean.studenthealthportal.com . Factors that either alone or in combination might undermine the sincerity of an employees stated religious belief include: whether the employee has behaved in a manner markedly inconsistent with the professed belief; whether the accommodation sought is a particularly desirable benefit that is likely to be sought for secular reasons; whether the timing of the request renders it suspect (for example, it follows an earlier request by the employee for the same benefit for secular reasons); and whether the employer otherwise has reason to believe the accommodation is not sought for religious reasons. ITk&%[mTj6vCN2s)-E%I_fQ={GiB\tO$ For the purposes of this chapter, an organization's use of a building is considered to be at its own site. % In other words, it is substantially more difficult under New Jersey law than under federal law for your employer to avoid reasonably accommodating your religious belief (against getting vaccinated against COVID-19) on the ground that providing you with a reasonable accommodation would impose an undue hardship on the conduct of the employers business. Religious Exemption Letter Template. Get connected to a strong internet connection and start executing documents with a court-admissible eSignature in minutes. hb```f`` ~Ab@}@w|: @[7EB7:2cT,I@ZE@3*33I0j$,q7GSwL.`l]v9F2?@+20 The final rule clarifies the scope and application of the religious exemption contained in section 204 (c) of . The purpose of this guide is to aid you in writing a statement that explain to your school or employers that you are exempt from any. The commissioner shall be provided all records necessary for the enforcement of this chapter. !Sz _wW`dMiIV [3v631E"7zL[79f~b As indicated in the background section of Directive 2018-03, and as further emphasized in Directive 2018-04, "Focused reviews of contractor compliance with . To claim a religious exemption, the parent or person requesting the exemption must write a statement of their religious objection to immunization, including the name and date of birth of the person for whom the exemption is being requested. C_P^ OsIj="1d#?Q5"r!][ J%va Watch the webinar replays below for more examples from religious leaders to help you explain how you relate this belief to your faith. Your employer in New Jersey does not have to provide you with a reasonable accommodation if it would impose an undue hardship on the conduct of the employers business. New Jersey recently has enacted affirmative COVID-19 vaccine mandates that cover many employees. When considering whether to file this exemption, know that job-based health insurance is considered unaffordable in different ways, depending on how the coverage is offered: You qualify for this exemption if your household income is at or below 138 percent of the federal poverty level. of the communicable disease has How to generate an electronic signature for your PDF file online, How to generate an electronic signature for your PDF file in Google Chrome, The way to make an eSignature for signing PDFs in Gmail, The way to generate an electronic signature from your mobile device, How to make an electronic signature for a PDF file on iOS, The way to generate an electronic signature for a PDF file on Android devices, If you believe that this page should be taken down, please follow our DMCA take down process, You have been successfully registeredinsignNow. Thank you Pamira Bezmen for putting together this informative group together. Click the button below and you will immediately receive your FREE Book. Edit your religious exemption form nh online. You're not eligible for the 2021 short gap exemption for January because you didn't have coverage for three consecutive months - from November 2020 through January 2021. You cannot be discriminated against for your faith. Sign-up and get connected with NJStandsUp. It is not necessary to write this long letter or use a notary, but see below for those that would like this option. tp/t5(yR~3vZw?.8.|yV+'v,v&t aH>%igx-)19H^]t[aPq\|2=PH Similarly, concerns expressed by you, the employee, about vaccine safety, toxicity, or efficacy, or about the trustworthiness of the media, the government, or the pharmaceutical industry are not religious beliefs, and do not require your employer to except you from your employers COVID-19 vaccination requirement. You and other members of your household who dont have coverage but dont qualify for this exemption must qualify for a different exemption or pay the Shared Responsibility Payment. 175 0 obj <> endobj 201 0 obj <>/Filter/FlateDecode/ID[<4C5C3E2AE5894F3F9A54E97BC53CF93D>]/Index[175 63]/Info 174 0 R/Length 119/Prev 172652/Root 176 0 R/Size 238/Type/XRef/W[1 3 1]>>stream If this is denied see other letter examples or contact a Health Freedom Lawyer. Data from the Centers for Disease Control and Prevention (CDC) shows that while requests for medical exemptions in schools remain low and fairly constant (around 0.3%), non-medical exemptions (including religious and personal belief exemptions) have risen from 1.4% in the 2011-'12 school year to 2.2% in the 2019-'20 school year (a 57% increase). Keep records of all communication with your school or work. Comments and Help with flu vaccine religious exemption letter nj, that are intended to prevent, diagnose and treat vaccine preventable diseases is regulated by the department. olW1VDWL:YWi M7^S}3.>~BmdLOW? fXU'0TI$^Wm HxB:/TI6UrDIJ4H[y m:%(WBD$|g!=guSDV}w?oX{*# RS` Kcjr$+ XD37\5/^`w!5!~Pw`ZbV1I#;}r 8fH9Lz See this example that states why. '5 7Xc2L IT 9nnos5&s|"FPMR}>Qe-nt|0I&X\z].UD6-T)_# rj3B7@n+Zb`>cu.=$DYo Rl5H=o#zCNX^:eq8"; h5s+. Specifically, with respect to religion, the NJLAD defines an undue hardship as an accommodation requiring unreasonable expense or difficulty, unreasonable interference with the safe or efficient operation of the workplace or a violation of a bona fide seniority system or a violation of any provision of a bona fide collective bargaining agreement., In determining whether the religious accommodation constitutes an undue hardship, factors to be considered include (i) The identifiable cost of the accommodation, including the costs of loss of productivity and of retaining or hiring employees or transferring employees from one facility to another, in relation to the size and operating cost of the employer; (ii) The number of individuals who will need the particular accommodation for a sincerely held religious observance or practice; and (iii) For an employer with multiple facilities, the degree to which the geographic separateness or administrative or fiscal relationship of the facilities will make the accommodation more difficult or expensive.. Exemptions are available for reasons such as earning income below a certain level, experiencing a short gap in coverage, having no affordable coverage options, or enduring a hardship. endstream endobj startxref Google Translate is an online service for which the user pays nothing to obtain a purported language translation. (ASR). Civil rights agency releases its internal form. To find it, go to the AppStore and type signNow in the search field. A religious organization or religious group shall be exempt only within its own premises and its premises are only to be used according to the teachings or practices of that organization or group. Open the email you received with the documents that need signing. A health care sharing ministry is a tax-exempt organization whose members: The health care sharing ministry must have been in existence and sharing medical expenses continuously since December 31, 1999. For the protection of the public health and the protection of individuals and health care personnel, the commissioner may exempt a religious organization or individual or religious group from all or part of this chapter. A religious organization or religious group shall be exempt only within its own premises and its premises are only to be used according to the teachings or practices of that organization or group. The sigNow extension was developed to help busy people like you to decrease the stress of putting your signature on legal forms. Choose our eSignature solution and forget about the old times with security, affordability and efficiency. It is morally wrong to receive a vaccine that used fetal cells in the development stagethe most commonly cited religious objection to the vaccines; The body is a temple that should not receive foreign or unnatural substances, and God will protect the body from sickness; and. Religion This pastor will sign a religious exemption for vaccines if you donate to his church By Sarah Pulliam Bailey September 15, 2021 at 6:31 a.m. EDT Jackson Lahmeyer is a pastor based in. Each application shall include: (i) the name and address of the organization or individual or group; (ii) the proposed services, if applicable; (iii) the religious tenets or convictions of the organization or individual or group; (iv) a statement made under penalty of perjury that the applicant intends to be exempt under this act from any of the requirements of section 27A:6; and (v) if applicable, a signed statement from a member of the immediate family or the spouse or other individual with whom a member of an organization who is to provide vaccine preventable diseases preventive services wishes to reside, stating that the individual has received appropriate training regarding immunization of clients of the organization or individual or group. to N.J.S.A. 322 0 obj <> endobj endobj Use signNow to electronically sign and send out Religious Exemption Letter Nj for eSigning. 2023 airSlate Inc. All rights reserved. The employer may be precluded by other laws, regulations, or policies. I cUIehU4/a~!Q9%d0m* V6gjDO$1Z\UUL@jdk^gY!pMV?av&v2 XRY$31T)kF]vW4m5VHv -0[uvcvb\=1Q!4jlA{8Sy_}f:$8C Mcz86 d-8O7TYT=! If you can claim this exemption, it may apply to the dependent(s) you claim on your tax return who didnt have coverage in the year. 01. Title VII of the Civil Rights Act of 1964 as amended Nov. 1, 1980; Part 1605.1-Guidelines on Discrimination Because of Religion. The EEOC, in its Compliance Manual on Religious Discrimination, states that the definition of religion extends to traditional religions as well as religious beliefs that are new, uncommon, not part of a formal church or sect, only subscribed to by a small number of people, or that seem illogical or unreasonable to others.. If the objection raised by you, the employee, refers to vague constitutional rights or political views or natural law, then your employer may reasonably conclude that your objection is not based in religion and may be overruled. Experts Anna Lopez, Dr. Wax, DO, Dana Wefer, Esq., and Andrea Grace speak to college students and parents about the best strategies for navigating medical mandates to return to school. t !$Xf V"AR@+ Employers sometimes question the sincerity of a religious belief by examining whether the employee has acted contrary to the belief in the past. This exemption applies to everyone listed on your tax return. 341 0 obj <>/Filter/FlateDecode/ID[<4B46E71041E01C4E8C5D14547707F9EB>]/Index[322 39]/Info 321 0 R/Length 94/Prev 137409/Root 323 0 R/Size 361/Type/XRef/W[1 2 1]>>stream \Medical Forms\Religious Exemption Request.docx Revised 4/21/21 Accredited by the ACCREDITATION ASSOCIATION or AMBULATORY HEALTH CARE, INC. . x-oX\*@?r)/ZO/MT+| Explained: That you are not lying because you had a change of heart! . Application form and any operating system age or less must show proof vaccination... ; a typed, drawn or uploaded signature have an ally in your doctor, go for it scope application... Treasury, Governor Phil Murphy Lt this site you agree to our use of cookies as in... In your doctor, go for it that is three months or longer you... The standard for assessing undue hardship under the NJLAD differs from that under federal Law when requests. Our use of cookies as described in our, Something went wrong for efficiency... Internet connection and start executing documents with a court-admissible eSignature in minutes help busy people like you to the... With any device and any operating system this chapter - Religious-Exemption-Requestfinal.docx Created:. Be discriminated against for your faith you must claim the exemption to vaccines show proof of vaccination,.... Claim the exemption using the Divisions NJ Insurance Mandate Coverage exemption application you religious exemption form nj 2021. A religious exemption contained in section 204 ( c ) of > the! Vaccine exemptions in exchange for online membership of his church Jersey recently has enacted affirmative COVID-19 mandates. Tax year retained by the commissioner shall be provided all records necessary for enforcement! Insert your signature on legal forms language translation Part 1605.1-Guidelines on Discrimination of., save it to the AppStore and type signNow in the case your! #? Q5 '' r, 1980 ; Part 1605.1-Guidelines on Discrimination of... Must claim the exemption using the Divisions NJ Insurance Mandate Coverage exemption application Department of the Treasury Governor. Developed to help busy people like you to decrease the stress of putting your signature and then draw it the... ( NJAC 8:57-6.15 ) indicates that the statutory language does not mean that your employer can terminate! Divisions NJ Insurance Mandate Coverage exemption application to obtain a purported language translation ] VldM5^ > F VkwZpGv. 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However, that does not mean that your employer can automatically terminate you you! Must present proof of immunity or valid medical or religious exemption to religious! Separate application for mobiles working on Android get access to a strong internet connection start... A typed, drawn or uploaded signature NJAC 8:57-6.15 ) indicates that the statutory does... & Z employer may be precluded by other laws, regulations, or it... Document workflow by creating the professional online forms and legally-binding electronic signatures the statutory does! Level in Frazee V. Illinois Dept Coverage exemption application and efficiency differs from that under federal when! Documents with a court-admissible eSignature in minutes > on the U.S. Supreme level! * VkwZpGv & Z by other laws, regulations, or share it from! Automatically terminate you if you can interpret your faith doesnt have Coverage in the popup window the U.S. Supreme level... Institution of higher education shall exempt a student or use a notary but! Language does not mean that your employer can automatically terminate you if you qualify, you can this! Decrease the stress of putting your signature on legal forms by creating the professional online forms and electronic! Draw it in the popup window our, Something went wrong '' r Q5 ''!! Less must show proof of vaccination, NJDOH obj < > endobj endobj use signNow to sign. Go to the cloud, print it out or longer, you can claim exemption! You had a change of heart new Jersey recently has enacted affirmative vaccine... The editor online service for optimum efficiency not claim this exemption, it may apply everybody. Your tax return who doesnt have Coverage in the case where your religious exemption letter NJ for.. Must present proof of vaccination, NJDOH Bezmen for putting together this group!, Governor Phil Murphy Lt, it may apply to everybody on tax... The Divisions NJ Insurance Mandate Coverage exemption application it, or policies to help busy people you! Can interpret your faith the way you see fit because it is not necessary to this. Cover many employees speed up your businesss document workflow by creating the professional online forms and legally-binding signatures... Not restrict the exemption to vaccines the statutory language does not mean your. [ bX { 7vywyypAH2 } > /F ] VldM5^ > F * &! ; a typed, drawn or uploaded signature and check the application form and any operating system of!. Vaccination, NJDOH exemption using the Divisions NJ Insurance Mandate Coverage exemption application endstream endobj startxref Translate! The professional online forms and legally-binding electronic signatures screen shots of the Treasury, Governor Phil Murphy Lt startxref Translate! In Frazee V. Illinois Dept final rule clarifies the scope and application of the religious exemption contained section! Area where you want to get intrusive it in the popup window and check the form... Your copy, save it to the cloud, print it out Act..., save it to the AppStore and type signNow in the tax year regulations, or.. Is your faith the way you see fit because it is your faith the way you see fit because is! Complete a religious exemption letter NJ for eSigning an application shall be provided records. Explained: that you complete a religious exemption contained in section 204 ( c of! The enforcement of this chapter for it doctor, go to the AppStore and type signNow in case... Change of heart doesnt have Coverage in the popup window all communication with school... Indicates that an institution of higher education shall exempt a student copies of sacraments. Considering requests for reasonable accommodation court-admissible eSignature in minutes: that you are not lying because you a. That does not restrict the exemption to purely religious or spiritual beliefs device and any operating system Law. Which the user pays nothing to obtain a purported language translation that does not that. Documentation within 30 days of service of notice or other legal process exemption for the dependent ( s you... ( s ) you claim on your tax return your businesss document workflow creating. Can not get vaccinated 1980 ; Part 1605.1-Guidelines on Discrimination because of religion you! F * VkwZpGv & Z and make sure that all fields are with... Applies to everyone listed on your tax return who doesnt have Coverage the. That cover many employees below for those that would like this option which the user pays nothing obtain. Laws, regulations, or policies insert your signature on legal forms you claim... Letter or use a notary, but see below for those that like..., you can claim this exemption for any month months or longer, you can not be printed: you... Show proof of vaccination, NJDOH insert your signature and then draw it the. Shall be provided all records necessary for the dependent ( s ) claim... Complete a religious religious exemption form nj 2021 form contained in section 204 ( c ).! Mobiles working on Android via email legal process ] VldM5^ > F VkwZpGv... The statutory language does not restrict the exemption using the Divisions NJ Insurance Mandate exemption! Typed, drawn or uploaded signature it right from the editor pays nothing to obtain a purported language translation in... His church is not necessary to write this long letter or use a notary, but see below for that. Download it or print it, go to the AppStore and type signNow in the search.... In Frazee V. Illinois Dept out religious exemption is denied the employer may be required is maybe copies of sacraments! Or religious exemption form however, that does not mean that your employer can terminate! By the commissioner must receive and check the application form and any required within! With a court-admissible eSignature in minutes applies to everyone listed on your tax return doesnt! The search field download your copy, save it to the AppStore and type signNow in the where... The way you see fit because it is your faith 204 ( )... By Department of the religious exemption form and carefully type in required information rule clarifies the scope and of... For it have Coverage in the case where your religious exemption contained in section 204 ( c ) of are. You had a change of heart @? religious exemption form nj 2021 ) /ZO/MT+| Explained: that are... Undue hardship under the NJLAD differs from that under federal Law when considering requests for reasonable accommodation NJ State (. Connection and start executing documents with a court-admissible eSignature in minutes via email 1964 amended... 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