Division:

Finance and Administration

Department:

Human Resources

Contact Information:

Chief Human Resources Officer/David Miller/715-836-4323

milleda@uwec.edu

Effective Date:

12/1/2021

Revised Date:

Step

Action

1.

Access the request form by opening BP Logix, click on Start New Form, Select Human Resources, and selecting ADA Reasonable Accommodation Request form.

2.

Completed the Employee Information section including a:

• Current Job Description
• Description of Disability
• Description of how disability impairs ability to perform assigned job duties
• Description of accommodation being requested

3.

Follow the instructions to receive the Physicians Information document.

• When you have completed the upper portion of this eForm, click "Submit" below.

• The form will remain - you may "Save and Close for Later"
• A Physician's Information PDF will be created. It will immediately come to you via email as a PDF. (It will include all information that you entered above.
• Print the PDF and take to the doctor to be completed.

4.

Submit the documentation.

• When the doctor has completed the form, scan or take a picture of the form with your camera.
• The scanned image must be uploaded to the eForm.
• Find the form at https://eform.uwec.edu / My Tasks
• Add Scan or Picture of Physician Report

5.

Click "Submit" to send to HR for review and accommodation determination.

Approval Authority:

[Refer to the Table of Approval Authorities]

Approval date:

[dd/mm/yyyy]

Version no:

V1.0

Date for next review:

[The practice directive and procedure review should be scheduled 3 years from the approval date]

Version

Revision date

Description of changes

Author

1.0

<dd/mm/yyyy>

Procedure established

Title of Procedure Author

Contact Person/Unit:

Chief Human Resources Officer/David Miller/715-836-4323

milleda@uwec.edu

Keywords:

ADA, Americans with Disabilities, disability, physician information, physician, BP Logix