Forms

Requesting an Employment Accommodation(s) 
from the EARC

The following forms are to be used by SJSU employees who:

  • would like to register with the EARC; or
  • is currently registered with the EARC and is requesting modification and/or additional employment accommodations for an exisiting condition(s).

Note:  An employee registered with the EARC has provided the EARC with appropriate documentation that qualifies him/her as an individual with a disability under FEHA and/or ADA, as amended.


Registration Forms

Please complete the forms below to register with the EARC.  

  • EARC Verification Form (PDF)* - To be completed by appropriate professional 


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