The purpose of this form is to assist the University in determining whether, or to what extent, a reasonable accommodation is required for an employee with a disability to perform one or more essential functions of their job safely and effectively. All information obtained will be maintained in accordance with applicable confidentiality standards.
If you require assistance completing this form, please contact Disability Resources and Services (DRS) at (412) 648-7890.
Thank you for this information. Once reviewed, Disability Resources and Services will contact you to schedule an appointment.