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  • Request for Sincerely Held Religious Accommodation 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/accommodation for employees’ religious beliefs, practices, and observances, provided the requested accommodation is reasonable and does not create an undue hardship for the Company.

    If you are requesting an accommodation related to a vaccination (including a COVID-19 vaccination) based on your sincerely held religious belief, practice, or observance, please, complete this form and submit. Please explain your religious belief, practice, or observance below and describe how these beliefs, practices or observances are contrary to the Federal vaccine requirement. This explanation should include enough detail for 3M to determine that these beliefs are sincerely held and 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 accommodation, consistent with 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.

  • Employee Contact Information (work or personal)

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  • Management reserves its right to request additional information in support of your request for an accommodation and will comply with all applicable laws in determining whether it is able to accommodate your request without undue hardship to the Company.

    I understand that although the specific accommodation I have requested may not be granted, the Company will attempt to provide a reasonable religious accommodation that does not create an undue hardship for 3M, if such an accommodation is available. I understand that any religious accommodation granted now may be reviewed periodically by 3M to ensure it is reasonable and does not create an undue hardship to the Company in the future. I understand that 3M prohibits retaliation for requesting a religious accommodation and that if I should have any concerns about retaliation, I will report them immediately to my supervisor, Human Resources or Ethics & Compliance.

    By submitting this form, I hereby certify that the statements and information provided above and in furtherance of my request for a religious accommodation are based on my sincerely held religious beliefs, practices, and/or observances. I further certify the truth and accuracy of my statement on this form.  I also certify that I am submitting this religious accommodation request for myself and not on behalf of another 3M employee or anyone else.  I understand that any intentional misrepresentation contained in this request may result in disciplinary action, up to and including termination of employment.

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Religious Accommodation Request Process Acknowledgement

Thank you for submitting your request to start the Religious Accommodation Process. Additional information, instruction and requests will be sent to you regarding next steps.

You will be receiving an email confirming this acknowledgement.

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