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Employee Request for an Accommodation
SNHU is committed to engaging in a cooperative dialogue with an individual who has requested, or whom the University has noticed, may require a reasonable workplace accommodation. Full details of our accommodation process can be found in our
Employee Handbook
. In order to facilitate this cooperative dialogue, individuals are encouraged to complete the following questionnaire. Where an accommodation is related to an individual’s physical or mental condition, verification by a health professional or a disability service provider regarding an individual’s request may be required.
If you need assistance or have questions related to this form, please create a case within
Workday Help
, under a case type of "Benefits - Workplace Safety and Accommodations". Employees who require assistance completing this form, may reach out to their designated
Human Resources Business Partner
.
To initiate your Request for Accommodation, please complete the following:
* Red asterisk denotes a required response
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Previous Month (March 2025)
April 2025
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Enter your information
First name
Last name
Enter your Workday ID
Job Title
Email address
Primary Contact Tel #
Supervisor name
Supervisor email
Please indicate your Job Type:
Full Time
Part Time
Adjunct / PRN Staff
Reason for Accommodation Request
Physical or Mental Disability
Needs related to pregnancy, childbirth or related medical conditions
Sincerely held religious beliefs and practices
Needs as a victim of domestic violence, sex offenses or stalking
Other
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