COVID-19 Reasonable Accommodation Request Form

COVID-19 Reasonable Accommodation Request Form

for Vanderbilt Faculty, Staff, and Other Employees

Vanderbilt University’s response to the COVID-19 pandemic is designed to sustain our important mission of education and research while maintaining the health and safety of our faculty, students and staff.

Faculty or staff whose age or health condition falls within one of the CDC High Risk Categories or who have other special circumstances may seek a workplace adjustment through the reasonable accommodation process by utilizing these forms.

If you need to submit medical documentation, please complete the separate COVID-19 Medical Information Request Form as soon as possible after you submit this request.