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Get University Of Utah Pregnancy Or Pregnancy Related Condition Accommodation Request Form
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How to fill out the University Of Utah Pregnancy Or Pregnancy Related Condition Accommodation Request Form online
The University Of Utah provides a dedicated form for individuals seeking accommodations related to pregnancy or pregnancy-related conditions. This guide will help you navigate the process of filling out the form online with clarity and ease.
Follow the steps to successfully complete your accommodation request form.
- Click ‘Get Form’ button to obtain the form and access it for your use.
- Begin by entering your contact information. Fill in your name, the date of request, University ID (UID), job title, department or unit, and details about your immediate supervisor.
- Provide your mailing address and contact numbers. Indicate whether the number is for cell/home or work purposes.
- Enter your primary email address. This will be used for all correspondence related to your request, so ensure it is accurate.
- In the Accommodation Information section, clearly identify how your pregnancy or pregnancy-related condition limits your ability to perform your job duties.
- Next, specify the accommodation you are requesting. This could include options like light duty, telecommuting, or additional break time.
- If needed, you may attach additional information on a separate sheet to further explain your situation.
- In the Additional Information & Supplemental Documents section, indicate whether you will be able to provide supporting documentation if requested by the University.
- Specify whether you are attaching any supporting documents to your request and, if so, list them clearly.
- Review the Summary of Next Steps to understand what will happen next. Your request will be reviewed by Human Resources, and you will receive a written notification of their decision.
- Complete the certification statement, ensuring that all information is accurate. Remember, intentional misrepresentation can lead to disciplinary actions.
- Finally, sign the form and date it to complete your request. Save your changes and consider downloading, printing, or sharing the form as necessary.
Complete your accommodation request online today and ensure your needs are met.
Related links form
You can request bed rest while pregnant if a medical professional advises it. It's vital to provide documentation from your healthcare provider to support your request. Additionally, the University Of Utah Pregnancy Or Pregnancy Related Condition Accommodation Request Form can help you formalize your request to ensure you receive the necessary adjustments.
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