Specific Accommodation Information
Please address the following questions in as much detail as possible.
(Do the best that you can to explain this)
(examples: caring for oneself, performing manual tasks, seeing, hearing, eating, sleeping, walking, standing, lifting, speaking, breathing, learning, reading, concentrating, thinking, communicating or major bodily function, etc.)
Upload supporting document(s)
You may submit documentation one of two ways: please either submit documentation now electronically by uploading files (preferred method) or submit in-person by mail or fax using the address or fax number listed at the top of this form. Thank you!