UToledo Human Resources

Office of Institutional Equity And HR Compliance

Reasonable Accommodation Request Form

CONFIDENTIAL

All information shared with the University through the American’s with Disability Act (ADA) reasonable accommodation process will be maintained separate from the personnel files in accordance with all federal ADA requirements.

Medical information obtained to evaluate accommodation requests from individuals who are at higher risk of severe illness due to COVID-19, will also be maintained separately from personnel files.

Individuals applying for employment or Faculty and Staff currently employed at The University of Toledo requesting reasonable accommodations in accordance with federal law as defined under the Americans with Disabilities Act (ADA) are encouraged to complete this form in its entirety. If you are unable to complete this form on your own, and you require assistance, please contact the Office of Institutional Equity and HR Compliance at 419.530.1494 or at Meredith.shank2@utoledo.edu. Once your request form and supporting documentation for a qualifying disability has been reviewed, you will receive a letter with details concerning your accommodation(s) request.

Last Updated: 8/26/21