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Submit an ADA Accommodation Request


    Applicants, candidates or employees may request an ADA accommodation through Risk Management Department.

    Step 1

    Submit all ADA accommodation requests via: 

    Step 2

    The applicant, candidate, or employee must submit the following documents when requesting an accommodation: 

    • Accommodation Request Form
    • Health Care Provider Form, a physician's statement, or other relevant diagnostic report outlining the diagnosis and limitation of the employee and the accommodation(s) required.

    Step 3

    An ADA Advisory Committee (ADAAC) meeting may be scheduled to review the request. The Director of Benefits and Risk Management will notify the employee and immediate supervisor of the decision and implementation instructions, if applicable.

    ADAAC Members: 

    • Executive Director of Employee Services and HR Systems
    • Director of Benefits, Risk Management, and HR Systems
    • Benefits and Risk Management Lead
    • Director(s) of Human Resources (as needed)
    • Director of Health Services (if necessary)
    • Director of Guidance and Counseling (if necessary)
    • Department Representative (supervisor of the person requesting accommodation, (if necessary)
    • District General Counsel (advisory/non-voting)

    Step 4

    Return completed ADA Form via hand-delivery, fax or email:


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