Employees may use this form to request a workplace accommodation.

Human Resources, the employee, and their supervisor will use an interactive process to review position responsibilities, employee limitations, and the potential impact of reasonable accommodations following the ADA and other applicable laws.

Medical or religious information submitted will only be seen by Human Resources and will remain confidential.

Please note that influenza vaccination accommodations must be submitted prior to signing the Carleton Campus Covenant (by August 31 for those working on campus in the fall and prior to returning to campus for those that are working remotely).

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