Get Note - This Policy Has Been Superseded - Mississippi State University

This guide provides a clear and supportive overview of how to fill out the Note - This Policy Has Been Superseded - Mississippi State University online. By following these steps, users can efficiently navigate through the form and ensure all necessary information is submitted correctly.

Follow the steps to complete your form effectively.

1. Click the ‘Get Form’ button to access the document. Doing so will open the form in an online editor, allowing you to begin the completion process.
2. Fill out Part A of the form. Provide your name, MSU ID, and check the appropriate box to indicate your classification (e.g., Faculty/Academic, Staff, Student Employee, Visitor, or Other). Include your home and work phone numbers, as well as your address.
3. In the Request for Reasonable Accommodation section, detail the essential functions you are unable to perform fully due to your disability, along with specifically requested accommodations such as devices, equipment, or alternative methods.
4. Sign and date the form in the Requestor's Signature section. If you are a current employee, also fill in your classification rank/title, department/division, position number, campus, and supervisor's name and phone number.
5. Part B of the form is to be completed by your supervisor. They will summarize actions taken regarding your accommodation request. Ensure they list all relevant names and positions of those involved in the assessment.
6. Next, the supervisor will complete Part C, discussing the proposed accommodations and indicating if the request was approved, denied, or modified. They should also estimate the cost of the requested accommodations.
7. In Part D, the supervisor will note when and how accommodations will be implemented, or, if denied, provide a full explanation. Both the requestor and supervisor need to sign the form.
8. Review the completed form, ensuring all sections are filled out correctly. Then save the changes, download, print, or share the completed document as needed.

Take the next step in your accommodation process by completing the form online today.