Vaccine Exemption Request

Service Overview

Submit this form ONLY after you’ve fully completed either a Medical Exemption or Religious Exemption form. One of these fully completed forms must be attached to your Vaccine Exemption Request before it can be reviewed.

Submitting the Vaccine Exemption Request does not constitute an exemption approval. Requests will be reviewed by the Covid Health Reporting team and you will receive an email within ten business days indicating whether your exemption request has been approved or denied. If you’ve fully completed a Medical Exemption or Religious Exemption form and are ready to submit your Vaccine Exemption Request for review, click the “Report Vaccine Exemption” button.

Available To

  • Faculty
  • Staff
  • Student
Request Service


Service ID: 51166
Thu 10/7/21 4:08 PM
Tue 1/11/22 3:25 PM