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Exemption Request Information for Employees

Sacramento City College has a process in place for any employee to request a medical exemption or religious exemption to the vaccination requirement.

Exemptions to the vaccination requirement are very limited and only available for certain medical conditions and sincerely held religious beliefs.

Request a Medical Exemption

To request a temporary or permanent medical exemption, an employee must complete all of the following steps:

Select Vaccination Status in Employee Self-Service

Log in to Employee Self-Service and select "I am requesting a medical exemption" in the COVID-19 Vaccination Status survey.

Note: If you previously selected "I am interested in learning more about allowable exemptions," then you must change your selection and resubmit the survey.

Screenshot of Employee Self-Service Vaccination page with radio button check next to option to request medical exemption

Complete Medical Exemption Form

Complete the Employee Medical Exemption Form, which includes two sections:

  1. The employee fills out section 1.
  2. A licensed physician fills out section 2.

Get Written Statement from Medical Provider

Obtain a written statement from a medical provider exempting you due to a disability or serious medical condition. The statement must:

  • Be submitted on the doctor's office letterhead
  • Contain the doctor's printed name
  • Contain the doctor's license number
  • Contain the doctor's signature
  • Contain the date the statement is issued
Graphic of a checklist on a clipboard with five items

Email Exemption Documents

Email both documents from steps 2 and 3 to your college or district ADA officer for review.

ADA Email Information
Primary Work Location ADA Email
American River College ADA@arc.losrios.edu
Cosumnes River College ADA@crc.losrios.edu
Folsom Lake College ADA@flc.losrios.edu
Sacramento City College ADA@scc.losrios.edu
District Office ADA@losrios.edu

You will be notified of the status of your exemption request after it has been evaluated and approved or denied.

Request a Religious Exemption

To request an exemption based on sincerely held religious beliefs, an employee must complete all of the following steps:

Select Vaccination Status in Employee Self-Service

Log in to Employee Self-Service and select "I am requesting a religious exemption" in the COVID-19 Vaccination Status survey.

Note: If you previously selected "I am interested in learning more about allowable exemptions," then you must change your selection and resubmit the survey.

Screenshot of Employee Self-Service Vaccination page with radio button check next to option to request religious exemption

Complete Religious Exemption Form

Complete the Religious Exemption Form.

Email Exemption Form

Email the completed Religious Exemption Form to EmployeeReligiousExemption@losrios.edu.

You will be notified of the status of your exemption request after it has been evaluated and approved or denied.