Notice of Liability
This PDF can be printed and filled out for you to give to your employer. Write in your employer's information at the top of the form.
NOTICE OF LIABILITY
[EMPLOYERS, UNIVERSITIES AND OTHER INSTITUTIONS MANDATING COVID-19 VACCINES]
Name of Employer_______________________________________
Address of Employer_____________________________________
City, State, Zip Code______________________________________
Dear ______________________:
I am writing to inform you of my right to informed consent, under U.S. law, and to ask you 13 important questions I require the answer to at least 4 weeks before I decide whether or not to get the injection you are requiring.
This serves as notice that the requirement for any individual to be vaccinated against COVID-19 for employment or participation at a university or other institution violates federal law. All COVID-19 vaccines are merely authorized, not approved or licensed, by the federal government; they are Emergency Use Authorization (EUA) only. They merely “may be effective.”
Federal law states: Title 21 U.S.C. § 360bbb-3(e)(1)(A)(ii)(I-III) of the Federal Food, Drug, and Cosmetic Act states: individuals to whom the product is administered are informed— (I) that the Secretary has authorized the emergency use of the product; (II) of the significant known and potential benefits and risks of such use, and of the extent to which such benefits and risks are unknown; and (III) of the option to accept or refuse administration of the product, of the consequences, if any, of refusing administration of the product, and of the alternatives to the product that are available and of their benefits and risks.
EUA products are by definition experimental and thus require the right to refuse. Under the international Nuremberg Code the U.S. signed into law many decades ago, which has long been the foundation of ethical medicine since the last event of millions of people coerced into a medical experiment, no one may be coerced to participate in a medical experiment. The Nuremberg Code dictates that consent of the individual is “absolutely essential.”
A federal court held that the U.S. military could not mandate EUA vaccines to soldiers. Doe #1 v. Rumsfeld, 297 F.Supp.2d 119 (2003). The court held: "...the United States cannot demand that members of the armed forces also serve as guinea pigs for experimental drugs." Id. at 135.
No court has ever upheld a mandate for an EUA vaccine. The liability for forced participation in a medical experiment, including injury or death, may be incalculable. Medical and religious exemptions will be insufficient to overcome the illegality of EUA vaccine mandates. U.S. employers, universities and other institutions must respect and uphold the rights of individuals to refuse EUA COVID-19 vaccines.
On 8/30/21, a vaccine called “Cominarty” received FDA approval for Covid-19. However, the maker of this product has never provided an ingredient list, as required within 2 weeks, and this product is not available anywhere. Currently all vaccines being administered nationwide are still under Emergency Use Authorization, which are the only ones available at the time you have mandated I submit to injection or lose my job.
Currently thousands of Americans who received the Covid-19 EUA injections are severely disabled, and some have medical bills as high as $1 million. As of Sept. 14, 2021, the U.S. government has paid $0 to any of them (and some of them are being denied life insurance and health insurance), so I need very detailed information about your willingness to assume liability, since of course the injured and the families of the dead will be looking to the employer who required the injections, as the government and the vaccine maker are covered by the PREP Act of 2005 and NVICA of 1986, but employers are not immune from lawsuits.
These are the 13 questions I urgently need a very complete response to, given that my health and my life are at stake. Please feel free to submit additional pages for your answers. I require this information before I can decide whether I (a) get the injection you require, or (b) take my chances of being terminated as you have said I will be and consider further action at that point:
1. If I agree to receive an EUA Covid-19 injection, does my employee health insurance plan provide complete coverage, should I experience an adverse event, or even death? (As of Sept. 14, 2021, over 14,000 deaths have been reported to VAERS, CDC has been sued for 45,000 others they removed, and there are over 1.3M adverse events reported as well in the USA alone. In the EU, for some reason there are over 50% more reported deaths, despite much lower population than the U.S. and the same vaccines being administered.)
2. As an employee, does my life insurance policy provide any coverage in the event that I die from receiving an EUA Covid-19 injection?
3. As an employee, will you be providing Workers’ Compensation, disability insurance, or other resources if I have an adverse event to an EUA Covid-19 injection and am unable to come to work for days, weeks, or months, or if I am disabled for life? Have you ascertained that any Workers’ Comp or disability program you purchase for employees actually covers disability or death from Covid-19 experimental vaccines?
4. The Food and Drug Administration (FDA) requires that EUA vaccine recipients be provided with certain vaccine-specific information to help them make an informed decision about vaccination. The EUA fact sheets that must be provided are specific to each authorized Covid-19 injection and are developed by the manufacturers (Pfizer/BioNTech, Moderna, and Janssen/Johnson & Johnson). The fact sheets must provide up-to-date information on the injections and their ingredients; vaccine recipients must also receive information about adverse events.
Have you read, understood, and provided me (and all other employees) with these fact sheets and current information on adverse events—and can you furnish a list of vaccine ingredients guaranteed to be complete—so that I/we can make an educated decision?
5. Have you reviewed the material adverse events experienced to date by people who have received EUA Covid-19 injections, reported to the Vaccine Adverse Event Reporting System (VAERS)? Reported adverse events include death, anaphylaxis, blood clots and related complications, leaky blood vessels and related complications, heart and pulmonary problems (myocarditis and pericarditis, heart attacks, strokes, pulmonary infarctions and embolisms), neurological disorders (including seizures, Guillane Barre and Bells Palsy), autoimmune disorders, other chronic and inflammatory conditions, blindness and deafness, infertility, fetal damage, miscarriage, and stillbirth.
6. The FDA’s guidance on emergency use authorization of medical products requires the FDA to “ensure that recipients are informed to the extent practicable given the applicable circumstances…[t]hat they have the option to accept or refuse the EUA product…” (italics mine).
Are you aware of this statement? Have you informed all employees that they have the option to refuse?
7. With respect to the emergency use of an unapproved product, the Federal Food, Drug and Cosmetic Act, Title 21 U.S.C. 360bbb-3(e)(1)(A)(ii)(I-III) reiterates that individuals be informed of “the option to accept or refuse administration of the product, [and] of the consequences, if any, of refusing administration of the product, and of the alternatives to the product that are available and of their benefits and risks.”
In the event that the FDA decided to grant full approval to Covid-19 vaccines, state legislation would be required to allow companies to mandate the Covid-19 injections. Are you aware of these facts?
8. EUA products are unapproved, unlicensed, and experimental. Under the Nuremberg Code— the foundation of ethical medicine—no one may be coerced to participate in a medical experiment. The individual’s consent is absolutely essential. No court has ever upheld a mandate for an EUA vaccine. In Doe #1 v. Rumsfeld, 297 F. Supp. 2d 119 (2003), 5 a federal court held that the U.S. military could not mandate EUA vaccines for soldiers: “[T]he United States cannot demand that members of the armed forces also serve as guinea pigs for experimental drugs” (Id. at 135). Are you aware of this?
9. The United States Code of Federal Regulations and the FDA require the informed consent of human subjects for medical research. The EUA Covid-19 injections are unapproved, unlicensed, investigational vaccines that are part of an experimental trial through 2025. It is unlawful to conduct medical research on a human being, even in the event of an emergency, unless steps are taken to secure the full informed consent of all participants. Are you aware of this?
10. According to Federal Trade Commission (FTC) Guidelines and the FTC’s “Truth In Advertising,” promotional materials—and especially materials involving health-related products—cannot mislead consumers, omit important information, or make express claims. All of this falls under the rubric of “deceptive advertising” (whereby a company is providing or endorsing a product), whether presented in the form of an ad, on a website, through email, on a poster, or in the mail. For example, statements such as “all employees are required to get the Covid-19 vaccine to make the workspace safe” or “vaccines are safe and effective” leave out critical information.
Critical information includes the facts that Covid-19 injections are unapproved EUA vaccines that “may” or “may not” prevent Covid, won’t necessarily make the workplace safer, and could in fact cause harm. Not providing links or attachments of the manufacturers’ fact sheets and current information on adverse events is omitting safety information. Are you aware of this?
11. You are likely aware of the 1996 Health Insurance Portability and Accountability Act (HIPAA), preventing sharing a patient’s or person’s information with an unauthorized individual or incorrectly handling personal health information. Can you please explain your obligations to me, under HIPAA law, with respect to your requirement that I disclose my vaccine status and receive this injection?
12. Whereas pharmaceutical companies that manufacture EUA vaccines have been protected from liability related to injuries or deaths caused by experimental agents since the Public Readiness and Emergency Preparedness (PREP) Act was enacted in 2005, companies and all other institutions or individuals who mandate experimental vaccines on any human being are not protected from liability. Are you aware that you do not enjoy such liability protection?
13. Are you aware that employees could file a civil suit against you should they suffer an adverse event, death, or termination from their place of employment?
Please sign that as the legally authorized officer of the employer/company, I have read all of the above information, have provided my employees with all of the information that the FDA requires be provided to recipients of the Covid-19 injections, and do hereby agree to assume 100% financial responsibility for covering any and all expenses from adverse events, including death, through insurance coverage or directly. In addition, I affirm that the employee will not be subjected to the loss of their job should they decline to receive a Covid-19 injection.
Authorized officer of company requiring injection: _____________
Company Date: __________________________________
Employee: ________________________________________
Company: ________________________________________
Date: _____________________________________________
Witness: __________________________________________
Company Date: ___________________________________