Faculty and Staff Request for Reasonable Workplace Accommodation Form

Faculty and Staff Request for Reasonable Workplace Accommodation Form

The purpose of this form is to assist the University in determining whether, or to what extent, a reasonable accommodation is required for an employee with a disability to perform one or more essential functions of their job safely and effectively. This form must be filed separately from the employee's personnel file and be treated confidentially.

A downloadable version of the form is available.

If you wish to submit proof of your COVID-19 vaccination or request a medical/religious exception for the COVID-19 vaccine requirement, please do so via the University’s vaccine management system (VMS) that will launch on July 1, 2021. The VMS will be accessible via the myJH portal when it goes live on July 1.

More information about the University's VMS can be found online.

After you complete your submission, you will receive automated responses and updates from the system as your documents or exception requests are processed by the John Hopkins Exception Review Team.

If you have questions or concerns, please contact oie@jhu.edu.

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