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.
Please complete the forms below to register with the EARC.
EARC Intake Form (PDF)* - To be completed by employee
EARC Verification Form (PDF)* - To be completed by appropriate professional
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