Reasonable Accommodation Process and Form
Individuals who are employed at Purdue University, who believe they may be a person with a disability and would like to request reasonable accommodation(s) under the Americans with Disabilities Act (ADA), are encouraged to complete the Reasonable Accommodation Request Form. The accommodation process applies to all Purdue University employees including temporary and student employees.
Upon completion of the form, please contact a Purdue evaluator within the office of the Vice President for Human Resources to schedule a time to meet. Individuals may call 765-494-0269 or send an email to email@example.com to request the meeting. Individuals should bring the completed Reasonable Accommodation Request Form and the name(s), address(es), phone number(s) and fax number(s) for each health care provider to be contacted to verify the existence of a disability. Individuals will complete an authorization form during the meeting, granting written permission to the evaluator, to obtain medical documentation that is pertinent to their medical condition and their request for accommodation.