Please complete the shaded area prior to giving form to a medical professional, facility or other appropriate provider. Provide a copy of your job description for reference. Return this form to the appropriate Human Resources office. Do NOT return to your Supervisor.
Medical inquiry Form
The Employee Disability Accommodation Process is a collaborative and interactive process between the staff member, the supervisor (if necessary), Human Resources (HR) and the Office of Institutional Diversity and Equity (if necessary.)Information for Supervisors