If you are requesting a qualified exemption based on medical or religious grounds:

  • Please complete the appropriate form and submit using the instructions below. 


  • A photo of your photo ID (Lancer ID, driver's license or valid identification card)

Your submission will be reviewed and your employee record will be updated accordingly.

Two Ways to Submit

Online Submit your vaccination exemption and Photo ID via our secure system. 

*Please enter Pasadena City College in the Company field.
In Person
We have one on-campus location to submit a vaccination exemption. 

Room G2

Hours:  9:00 a.m. to 5:00 p.m.
Monday through Friday 

Questions? Contact us at CovidSupport@pasadena.edu