Disclaimer: This form is provided to facilitate effective family due diligence, communication, and planning. It is essential that each person and each family take responsibility to identify and access the information they believe to be most relevant to their situation and decisions, and take responsibility to assess and manage their individual and collective risk as they believe best.

Introduction

The goal of this Family Financial Form is to ensure that an adverse event or death of one family member does not translate into long-lived or permanent financial destruction for the entire family.

This form was created to assist families to communicate regarding and to prepare for the family-wide financial impact of adverse events, if any, resulting from a Covid-19 injection. Examples of adverse events from Covid-19 injections include Covid-19 infection; anaphylaxis; neurological disorders; autoimmune disorders; other long-term chronic diseases; blindness and deafness; infertility, fetal damage, miscarriage, and stillbirth; and death (see Table 1 for examples of each).

Traditionally, informed consent forms for vaccination do not provide disclosure or statistics related to financial costs of possible injury, disability, or death, nor do they discuss the impact on family time, resources, health, and wealth—impacts that may include reduced career potential, divorce, and effects on siblings’ education and future plans.

Consequently, it is essential that prior to receiving a Covid-19 injection, parents and family members with financial responsibility for children and spouses not only perform thorough due diligence—providing adequate disclosures to their families regarding the potential costs to family members of adverse events or death—but also take steps to protect themselves and family members from the material adverse financial consequences of an adverse event or death.

Read the complete disclosure versions:

English
Canadian
French
German
Employees Whose Employers Are Requiring Covid-19 Injections
Students Attending Colleges or Universities Requiring Covid-19 Injections

Related reading:

NOTICE FOR EMPLOYERS, UNIVERSITIES AND OTHER INSTITUTIONS MANDATING COVID-19 TESTS

NOTICE FOR EMPLOYERS, UNIVERSITIES AND OTHER INSTITUTIONS MANDATING COVID-19 MASKS

NOTICE FOR EMPLOYERS, UNIVERSITIES AND OTHER INSTITUTIONSMANDATING COVID-19 VACCINES

21 Comments

  1. Please send me the name(s) of lawyers in the NY City area who can help. The employer of my daughter-in-law, a home nurse, is requiring her to get a covid shot to continue working. She does not want the shot but is scared stiff of losing her job. I’ve sent her the “Notice for Employers form Mandating Vaccines” but she needs to see a lawyer. Thank you for your help.

  2. Dr. McCullough and a group of international attorneys have had a tremendous conversation that I heard on Mike Adams NaturalNews.com site. I encourage everyone to listen as it identifies the vaccine as a bioweapon. He’s a leading authority awa a Cardiologist and Professor at Texas A&M. Thank you for all you do. I have sent your forms to my attorney, family and friends.

    1. IMO McCullough is not a good use of your time. Check out the website for Doctors for Covid Ethics for latest of Bhakdi, Yeadon and American Frontline Doctors.

      1. I’m 83, still working as a Financial Advisor of 40 years. I also have long haul CV19 which makes things a little more difficult. So, I’m very interested in what you and other qualified, experienced people have to say. I have certainly listened to the ones you recommended and am working with a very helpful Dr from FLCCC.NET. Thank you for doing a great job. I appreciate your response.

          1. I’ve checked out everybody!!! ? I am no fan of pharmaceuticals and have used natural and homeopathic since I was a young mother. I reared 4 children as a single parent while I worked and earned 2 degrees. We are a bunch of Alphas and entrepreneurs with stress related issues so we use supplements, organics, low carbohydrates, non GMO, etc. You made me smile because I believe you follow a similar protocol. It’s probably why I’m still alive, and it was my own research that helped me identify and find help for the long haul. And…a strong belief in a wonderful and loving Christ has helped me thrive. Thank you. I really look forward to your Thursday reporting.

  3. Hello Catherine, I thank you for all your information in regards to this Scamdemic. I dont remember how I found your sight, but I am so thankful for all your hard work and the information you are bringing forward. I am a Canadian and I am concerned that our kids (26 and 23) are going to be forced to take this Experimental Vaccine to keep their jobs. I have reviewed the Employees Whose Employers Are Requiring COVID 19 injections but it is all US based, do you have or has member rewrote this for Canadians and our laws? I look forward to hearing from you. Scared as hell, Linda

  4. In this interview ‘Fatal Side-effects’ with RUBIKON (which I am afraid is in German) Dr Sucharit Bhakdi talks about the D-eimler test which indicates blood clotting. Dr Bhakti strongly suggests that if one decides to get an injection of the experimental gene therapy then shortly before getting the injection one should undergo a blood test for D-eimler and then undergo another test after the injection. (The tests should be done by a private lab, not connected with the institution administering the injection.) This evidence could help one’s legal position in the event one exhibits blood clotting after the injection.

    https://www.bitchute.com/video/Jrw7j2T4pquV/

    Dr Bhakdi said that over 30% of those who have got the injection have subsequently developed some form of clotting.

  5. My IP is blocked from reading further….
    Please advise, as time is of the essence to help my son retain his sport scholarship with out being forced to vax. With Gratitude, Salina

  6. Here’s some interesting fallout: https://www.theepochtimes.com/death-from-covid-19-vaccine-will-not-affect-life-insurance-pay-out_3746277.html?utm_source=morningbrief&utm_medium=email&email=marcia@oknw.us&utm_campaign=mb-2021-03-24 The insurance industry is beginning to encounter the question: how do we treat those who have been vaccinated? Please note the group issuing the statement is a DC lobbying group (add more scrutiny :-)). There are reports of death claims being denied due to taking experimental drug/vaccines; exactly what you warned about! I’m sure that no policies SPECIFICALLY say they won’t cover the COVID vaccine but many do deny benefits after taking an experimental drug. Look carefully at what they omit from their statements, and the reliability of the group making the statement.

    1. I’ve taken the approach that most people who will not listen to
      facts of the CV poison weapon injection are more likely to listen to discussions about money
      and insurance. Also, insurance co.’s can change your policy every 6 mo.-at least w/
      auto.
      I know that car insurance is like that and I’m only able to pay 1/2 yr. in advance due to changing state aspects.
      I suspect as the injectable damage adds up over the next
      2 yrs. policies will shift for health and life when the impact is more able to be
      assessed or when the goons are satisfied with the amount of people with the
      new operating systems. (that is, if they have a quota of human biolabs walking around,
      hooked to the system for final purposes.)
      The Family F.D. Form is highly appreciated!! Thank you for work on that Catherine.

  7. Thank you. This has saved one life very close to me. She has decided to not get the injections. ???xo Jen

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