Request for ADA and Religious Accommodations


Notice: UNMC faculty, students, and staff must be fully vaccinated against COVID-19 by October 22, 2021. All employee requests for ADA (medical) or religious exemptions from this requirement must be submitted before September 15, 2021.

If you are requesting a vaccine requirement exemption for ADA (medical) reasons, please complete the form below and email to

Request for ADA (medical) exemption to COVID-19 vaccination

If you are requesting a vaccine requirement exemption for Religious reasons, please complete the form below and email to

Request for Religious Accommodation Form

UNMC Faculty/Staff Reasonable Accommodations under the ADA

Employees who are having difficulty performing the essential functions of their job due to a medical condition may request an accommodation under the Americans with Disabilities Act (“ADA”).

Step 1 – Contact Human Resources – Employee Relations

For information on how to request a reasonable accommodation, contact Human Resources-Employee Relations at

Step 2 – Documents You Will Need

Human Resources – Employee Relations will provide following forms that must be completed by the employee and their healthcare provider:

Step 3 – Discussing Your Plan

Documentation is reviewed by Human Resources – Employee Relations to determine if a disability is eligible for an accommodation under the ADA. In an interactive process, reasonable accommodations are discussed between the employee, supervisor, and Human Resources – Employee Relations. 

Step 4 – Reasonable Accommodation

Reasonable accommodations are aligned to meet the needs of the employee and employer. Accommodation plans may be revised if changes occur in the job description or medical condition. 

Step 5 – Grievance Process

If an employee is not satisfied with the reasonable accommodation selected or has been denied accommodation, they may file a complaint to the University of Nebraska ADA/504 Compliance Officer ADA - Americans with Disabilities Act and Section 504 Grievance Procedures.


UNMC Faculty/Staff Religious Accommodations

The University of Nebraska Medical Center is strengthened by its global and multicultural character and is committed to diversity and equal opportunity in employment and education. This commitment includes embracing religious diversity and cultivating a community of inclusion and respect. The University prohibits discrimination against employees and applicants for employment based on religious beliefs, practices, and affiliation. In addition, the University provides reasonable accommodation for individual’s sincerely held religious beliefs and practices unless providing a reasonable accommodation would result in undue hardship to the University.

If you are an employee and are requesting a religious accommodation pertaining to your employment, please complete the Request for Religious Accommodation form and submit it to the UNMC HR Employee Relations office at A representative from Employee Relations will contact you about your request and will provide detailed instructions regarding next steps. 

Request for Religious Accommodation Form

The University of Nebraska Medical Center (UNMC) is committed to creating a diverse and inclusive work and learning environment free from discrimination and harassment. UNMC is dedicated to creating an environment where everyone feels valued, respected and included. 

UNMC does not discriminate based on race, color, ethnicity, national origin, sex, pregnancy, sexual orientation, gender identity, religion, disability, age, genetic information, veteran status, marital status, and/or political affiliation in its programs, activities, or employment. 

UNMC complies with all local, state and federal laws prohibiting discrimination, including Title IX, which prohibits discrimination on the basis of sex.