NOTE: THIS IS A SAMPLE FORM FOR A HYPOTHETICAL DRAFT.
The purpose of this form is to help you provide the information needed by your local board to determine if you qualify for reclassification as a conscientious objector. Your objection may be based on religious, moral or ethical beliefs, or a combination of these beliefs.
STEP 1
Check the box in this part that pertains to your claim. Note the difference of the two!
❐ 1. I claim exemption ONLY from training and service as a combatant member of the armed forces (Class 1-A-O).
To quality, you must establish to the satisfaction of the Board that you are conscientiously opposed to participation in combatant military training and service in any war, based on deeply held moral, ethical or religious beliefs.
❐ 2. I claim exemption FROM ALL training and service as a member of the armed forces (Class 1-O).
To qualify, you must establish to the satisfaction of the board that you are conscientiously opposed to participation in combatant and noncombatant military training and service in any war, based on deeply held moral, ethical or religious beliefs.
If possible, have two members from your meeting sign the form as witnesses.
STEP 2
Prepare and attach written responses to the information requested below. If you wish, you may attach letters from persons who know you and are familiar with your beliefs. You may also attach any other pertinent information you would like the board to consider.
- Describe your beliefs which are the reasons for you claiming conscientious objection to combatant military training and service or to all military training and service.
- Describe how and when you acquired these beliefs. Your answer may include such information as the influence of family members or other persons; training, if applicable; your personal experiences; membership in organizations; books and readings which influenced you.
- Explain what most clearly shows that your beliefs are deeply held. You may wish to include a description of how your beliefs affect the way you live.
STEP 3
Last updated December 18, 2025.