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Employee Disability Accommodation Request Form
Please complete the following form as completely as necessary to document your request.
Note that documentation from a medical professional may be required. Form should be
submitted the Office of Equity and Access (OEA)
SBU West Campus, RF & HSC, Stony Brook Medicine, and LISVH Employees- ADA Specialist
Phone: (631) 632-6280 / Fax: (631) 632-9428 / Email: oea_ada@stonybrook.edu