Employee Request for Disability Accommodation

Missouri State University is committed to providing an accessible and supportive environment for employees and students with disabilities. Please tell us if you require a reasonable accommodation to perform your job. A request for accommodations will not be used against you in any way, and the information you provide will be safeguarded. All University employees have a legal obligation to maintain confidentiality regarding a staff or faculty member’s disability-related information. To that end, supervisors and representatives from the Office for Institutional Equity and Compliance shall provide information to staff and faculty only when necessary to facilitate accommodations.

Employee information

Please be as specific as possible (e.g. adaptive equipment, reader, interpreter).

1000 characters remaining.
1000 characters remaining.
1000 characters remaining.

By submitting this form, I acknowledge that the information presented on this form is accurate.

* Required fields