How to Request an Accommodation or Exemption from the Flu Vaccine

The most important and effective measure to prevent flu infection is an annual flu vaccination. During the SARS-CoV-2 pandemic, where COVID-19, like influenza, results in respiratory symptoms, it is more critical than ever to take this step to protect yourself, your loved ones and your community.

To support the health and well-being of UC students, faculty and staff in our communities, the University of California, in consultation with UC Health leadership, has issued a UC Flu Vaccine Executive Order requiring all members of the UC community to receive an influenza immunization before November 1, 2020 if planning to be on UC premises for work-related purposes.

To implement this requirement, you will need to attest via the UCLA symptom monitoring survey that you have received the flu vaccine or have an approved medical exemption or disability or religious accommodation before coming to campus or to any other UCLA owned or leased property for any purpose or duration.

Medical Exemption and Accommodation

Employee Disability Management Services (EDMS) is the UCLA Designated Authorized Official that facilitates requests for medical exemptions. To request an exemption, employees must submit the Flu Vaccine Medical Exemption Request Form to [email protected]. The top portion of the form must be completed and signed by your health care provider and you must complete the bottom portion of the form. Download a copy and view with Adobe Reader for a fillable PDF.    If your request is approved, you will need to discuss with EDMS reasonable accommodations that may be available to you.

Disability Accommodation

Employee Disability Management Services (EDMS) is the UCLA Designated Authorized Official that facilitates requests for disability related exemptions. To request a disability related exemption, please review information on disability accommodations and complete the request for reasonable accommodation. You may be required to provide medical documentation specifying that you are an individual with a disability, and engage in an interactive discussion with the University about reasonable accommodations.

Please visit Insurance and Risk Management for additional information.

Religious Accommodation

For campus and ASUCLA staff employees, Employee and Labor Relations in Campus Human Resources is the UCLA Designated Authorized Office that reviews requests for religious accommodations. Please complete and send the Religious Accommodation Request Form for Flu Vaccine to [email protected].  If your request is approved, you will need to discuss with E&LR reasonable accommodations that may be available to you

For academic appointees on campus, the Academic Personnel Office is the UCLA Designated Authorized Office that reviews requests for religious accommodations. Please complete and send the Religious Accommodation Request Form for Flu Vaccine to [email protected] If your request is approved, you will need to discuss with APO reasonable accommodations that may be available to you

UCLA Health Human Resources will respond to requests for religious accommodations for employees in the health system and David Geffen School of Medicine. 

Response To Your Request For RELIGIOUS ACCOMMODATION

You will receive written notification from the Authorized Office that your request has either been approved or denied.
 

Approved Religious Accommodations

If your request is approved, you must engage with the Authorized Official on appropriate accommodations.

Further, if approved, you must also indicate you have received an approved exemption on your daily symptom monitoring survey

Should you need to request other or additional modifications to your work, contact EDMS at
[email protected] or ELR at [email protected]. Please note that the Executive Order states: “In active infectious disease outbreak situations, individuals granted medical exemptions may not be allowed to come to campus. These situations will be determined on a case-by-case basis, and in consultation with public health officials with jurisdiction.”

Denial of Religious Accommodation (Appeals Process)

Individuals who wish to appeal the denial of a religious accommodation must submit a written request to Employee and Labor Relations at [email protected] along with documentation provided on the Religious Accommodation Request Form within 2 business days of the date of denial. Failure to timely engage the appellate process may result in a denial of an accommodation.

In accordance with the Executive Order, ELR will forward your appeal to the local Immunization Exemption Appeals Officer (IEAO). The UCLA Staff Diversity and Compliance Office is the IEAO. Decisions from the IEAO will be communicated to the Authorized Official, (ELR), which will, in turn, communicate the IEAO decision to you. The employee must make themselves available to the IEAO within 5 business days of notification of receipt of their appeal. IEAO decisions shall be rendered within 60 days of receipt by the IEAO. The employee will not be barred from any campus activity while an appeal is pending. If the exemption denial is upheld, the faculty or staff member will be expected to comply with the immunization requirement within 15 calendar days. Failure to comply may result in the individual being barred from entering campus and all UCLA facilities.