• Campus Tulips

    Benefits Office


    Employee COVID-19 Vaccination Report Form

    Please complete the COVID-19 Vaccination Report Form below if you have completed the vaccine regimen. (2 doses of either Pfizer/Moderna OR Single dose of Johnson and Johnson) You must complete this form even if you previously responded to the voluntary survey inquiring about vaccinations status.

    COVID-19 Vaccination Report Form   


    Employee COVID-19 Exemption Forms

    If you wish to request an exemption from the COVID-19 Vaccination Policy, please choose one of  the forms to fill out below. Please note anyone with an approved exemption will be required to still follow current COVID regulations including masking and social distancing.


    COVID-19 Medical Exemption Form for Employees

     COVID-19 Conscientious Objection Exemption Form for Employees

    Employee Self Reporting COVID-19 Form

    If you are unvaccinated and experiencing COVID-19 symptoms OR have been exposed to someone with a confirmed case of  COVID-19, please complete the COVID-19 Self Reporting Sickness or Exposure Form below. Once the form is received, further instructions and information will be given to the employee by the Benefits Office. All medical information shared is kept confidential.

    COVID-19 Self Reporting Sickness or Exposure Form  


    Group Health Benefits

    Learn all about Hamline University's health benefits and related programs.

    Tuition Waiver Program

    Learn more about the opportunities available under Hamline University's Tuition Waiver Program.

    Employee Assistance Program

    Hamline University offers two Employee Assistance Programs to its employees. Click here to explore which which program maybe best for you! 

    Plan Documents, SPD's and Notices

    To view various plan reports, documents, and notices, click here