Vaccine Requirement Exemption Forms

Individuals requesting an exemption from the UNM COVID-19 vaccination requirement should complete only one of the appropriate forms below. Completed forms should be submitted via the online Vaccine Verification website and will be routed to the appropriate UNM office for review and approval.

Disability/Medical Condition/Pregnancy/Lactation Status Accommodation Request Form

Individuals with pending or approved accommodation or exemption requests are subject to regular COVID testing and must provide proof of a negative COVID-19 PCR test every 7 calendar days. COVID-19 testing will be at the expense of the employee or student seeking the exemption; the state of New Mexico has contracted with a test provider that currently will provide tests free of charge and this service may be used.

Utilize this form if:
  • You are an employee or student with a disability or medical condition that prevents you from receiving the COVID-19 vaccine
  • You are an employee or student who is currently pregnant and experiencing a high-risk pregnancy
  • You are an employee or student who is requesting an exemption for the COVID-19 vaccine and are either nursing or are currently pregnant and experiencing a typical pregnancy

Religious Accommodation Request Form

Individuals with pending or approved accommodation or exemption requests are subject to regular COVID testing and must provide proof of a negative COVID-19 PCR test every 7 calendar days. COVID-19 testing will be at the expense of the employee or student seeking the exemption; the state of New Mexico has contracted with a test provider that currently will provide tests free of charge and this service may be used.

Utilize this form if:
  • You are an employee or student who holds a sincere religious belief that prevents you from receiving the COVID-19 vaccine

Faculty and Staff Remote Work Exemption Request Form

Utilize this form if:
  • You are a faculty or staff member that is working completely remotely and are requesting an exemption on that basis.
  • Eligibility criteria for faculty seeking limited remote working exemption requests can be found on the Office for Academic Personnel’s announcement page
  • Note: Due to the requirements of the current State of NM Public Health Order, HSC employees are not eligible for the remote work exemption from the vaccine requirement.

 

Remote Online Student Exemption Form

Utilize this form if:
  • You are a student who is enrolled in fully online courses and will provide verification from an academic advisor.  You will also attest that you will not come on campus for any purpose during the Fall 2021 semester.

Temporary EUA Exception

On Monday, August 23rd the FDA granted full approval to the Pfizer-BioNTech coronavirus vaccine for people 16 and over. With this approval and pursuant to UNM's administrative mandate requiring COVID-19 vaccination, the Temporary EUA Exception is no longer permitted.