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Employee Request for Accommodations

In order to begin the accommodation request process, a employee must fill out and submit the Request For Accommodations Form below. It is important to note that filling out this form does not guarantee that the accommodation(s) requested will be granted. Accommodations are determined by the Center for Disability Resources (CDR) after a thorough review of the person’s medical documentation, an interactive conversation with the employee, and the reasonableness of the request within the context of the University. The employee must submit signed documentation from a licensed medical/mental health professional. These steps are required in order for the CDR to determine whether the person would be considered a person with a disability at Delaware State University and what reasonable accommodations they may or may not qualify for. The requested accommodation needs to be specific to the functional limitations.

Medical/mental health documentation can be uploaded with the form below or can be emailed to cdr [at] desu.edu. Once documentation and the Employee Request for Accommodations Form have been received, the next step is to schedule an interactive conversation with the Director of the CDR.

Name:
Prefix:
First:
Middle Initial
Last:
Suffix:
Date of Birth:
(with area code) If you do not have a cell phone, please list the best direct contact number for you.
How would you classify your condition(s) or impairment(s)?
Please select all that apply.
What are the limitations associated with the previously listed condition(s)?
Please select all that apply.
Files must be less than 2 MB.
Allowed file types: pdf doc docx.