Request for Religious Exemption from Vaccination Requirement

3M respects the religious beliefs and practices of all employees and is committed to complying with all laws protecting employees’ religious beliefs, practices, and observances. When requested and as required by applicable law, 3M will provide an exemption for employees’ religious beliefs, practices, and observances, provided the requested exemption is reasonable and does not create an undue hardship for the Company to the extent permitted by applicable law.

If you are requesting an exemption related to a vaccination (including a COVID-19 vaccination) based on your religious belief, practice, or observance, please, complete this form and submit it. Please explain your religious belief, practice, or observance below and describe how these beliefs, practices or observances are contrary to the vaccine requirement. This explanation should include enough detail for 3M to determine that these beliefs consistently guide and influence your life. As with any documentation or information provided to 3M, you must provide truthful and accurate information at all times. 3M reserves the right to request additional information or documentation in support of your request for a religious exemption, to the extent permitted by applicable law.

All fields on this form are required unless noted otherwise. After 5 minutes of inactivity, this page will refresh and the session will start over. If you live in a state that has a law requiring certain exemptions to a vaccine mandate and that requires the submission of a specific form, you can submit that form to vaccine_accommodation@mmm.com in lieu of completing this webform if you are seeking an exemption under that state law.

All fields on this form are required unless noted otherwise.

Individual Contact Information (email you used to apply to the job)

• First Name
• Last Name
• Contact email address
• Confirm email address by re-entering
• Contact phone number
• Confirm phone number by re-entering

Please answer the following (please do not use special characters like %, @, #, etc.):