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  4. Requiring Coronavirus Disease 2019 Vaccination for Federal Employees - Religious or Medical Exemption Request Forms

Requiring Coronavirus Disease 2019 Vaccination for Federal Employees - Religious or Medical Exemption Request Forms

On September 9, 2021, President Biden issued Executive Order 14043 Requiring Coronavirus Disease 2019 Vaccination for Federal Employees to promote the health and safety of the Federal workforce and the efficiency of the civil service.

As a DHS federal employee, you must be fully vaccinated by November 22, 2021, unless you have received or have requested an exemption for religious or medical reasons. Religious or medical exemptions must be submitted through the Accessibility Compliance Management System (ACMS) by November 9, 2021. If you have previously submitted a religious or medical exemption request, you need to re-submit using ACMS. If you do not have access to any government furnished equipment (GFE), please fill out either of these forms (including the medical providers’ information for the medical exemption), depending on your request, and send them to your Component’s Reasonable Accommodation or Disability Program Manager.

Attachment Ext. Size Date
DHS Religious Exemption Form PDF 255.24 KB 11/04/2021
DHS Medical Exemption Form PDF 365.55 KB 11/04/2021
Last Updated: 11/12/2021
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