Accommodation Request Form

Instructions for Submitting Your Request

Employees seeking an accommodation for a COVID-19 related medical condition(s) must complete the COVID-19 Accommodation Request Form linked below and submit it along with medical documentation of the COVID-19 related medical condition(s) or disability to initiate the interactive process.

Please take note that no accommodation request can be processed without the attachment of a medical provider's certification of the employee's COVID-19 related medical condition(s) or disability. The Office for Accessibility and Gender Equity has provided a Medical Certification Form to support employees in obtaining this information from their medical providers.

COVID-19 Accommodation Request Form

ADA Medical Certification Form 2020


How to Submit

The COVID-19 Accommodation Request Form and the Medical Certification Form or letter on letterhead from the treating medical provider can be submitted electronically, faxed, or mailed. Once these documents are submitted or a verbal request is made, the Office for Accessibility and Gender Equity will assign the request to an ADA Case Manager for processing.

Office for Accessibility and Gender Equity

Email: adaservices@ufl.edu

Fax: (352) 392-5268


Privacy

The Office for Accessibility and Gender Equity does not share medical information provided by the employee with the department or unit in which they work. The Office will only share information regarding the accommodation requested.