Please complete the required forms below to register with the EARC and/or request employment accommodations.
- EARC Intake Form (PDF) -to be completed by employee requesting employment accommodations.
EARC Medical/Psychological Disability Verification Form (PDF) -to be completed by appropriate professional. (Note: This form is only required if you do not currently have medical/psychological documentation of a disability that meets the EARC's documentation criteria.)
Please complete the form below if you are currently registered with the EARC and would like to request employment accommodations for the upcoming academic year.
EARC Employment Accommodations Request Form (PDF) - to be completed by the employee requesting employment accommodations.
Please complete the disabled parking request forms below if a disabled parking permit is the only employment accommodation you are requesting. (Please read Disabled Parking for more information on disabled parking eligibility.)
- EARC Parking Intake Form (PDF) - to be completed by employee requesting disabled parking.
EARC Parking Medical Verification Form (PDF) - to be completed by the appropriate professional.
Completed forms and disability verification/supporting documents may be submitted to the EARC via one of the two methods below. Please call/email the EARC at 408-924-6003 or earc@drc.sjsu.edu shortly after faxing, mailing, or hand-delivering documents to confirm their receipt.
ATTN: Keri SimmonsEmployment Accommodations Resource Center,San José State UniversityAdministration Building, Room 114One Washington SquareSan José, CA 95192-0168
San José State is the 7th largest public employer in Silicon Valley.
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