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ADA Reasonable Accommodation Form            

Department: Office of Equal Opportunity

Last Updated: 04/14/2020

Contact: Heather Roop 257-8927 heather.roop@uky.edu Office of Institutional Equity and Equal Opportunity

Brief Summary: Employee reasonable accommodation form

Medical Inquiry Form            

Department: Office of Equal Opportunity

Last Updated: 06/15/2020

Contact: 859-257-8927 heather.roop@uky.edu

Brief Summary: When an employee is requesting ADA reasonable accommodations, often times medical documentation is requested. For an employee to be considered under the ADA, they must have a disabling condition that impairs major life activities. The Medical Inquiry Form provides this information along with suggested accommodations. This form is filled out by the employees provider who is treating the employee for the condition.

University of Kentucky - An Equal Opportunity University
Human Resources · 115 Scovell Hall · Lexington, KY 40506-0064
Phone: (859) 257-9555 · Fax: (859) 323-8512
Questions/Feedback: HR | HR Site
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Last Modified: July 9, 2021 | Off-site Link Disclaimer