Online Forms and Surveys

Print
Press Enter to show all options, press Tab go to next option

Request for Reasonable Accommodation

Please correct the field(s) marked in red below:

For more Accessibility/ADA information, please see our accessibility web page. If you have any questions or need additional assistance with this request form, please contact Human Resources at 775-334-2285.
Personal Information:
 *
Personal Information:

Accommodation Information

Please select all accommodation requests that apply.

 
 
 
 
 
 
 
  1. To receive a copy of your submission, please fill out your email address below and submit.