Disability Management Services Forms

Form

Description

Campus

Temporary Accommodation Form

This form is used by managers and supervisors to document temporary accommodation.  

Campus: Managers & Supervisors using the fillable PDF, submit to: Disability Management Services at melwells@ucdavis.edu

Health: Managers & Supervisors using the fillable PDF, submit to: Disability Management Services at kkjlee@ucdavis.edu.

For questions on the campus form please email melwells@ucdavis.edu or for health questions kkjlee@ucdavis.edu.

Here are helpful FAQ's for DocuSign.

UC Davis/UC Davis Health

Permanent Accommodation Form

This form is used by both campus and health managers and supervisors to document a permanent accommodation.  Managers & Supervisors using the fillable PDF, submit to: Disability Management Services at melwells@ucdavis.edu.  

For questions on the DocuSign or PDF form please email melwells@ucdavis.edu

Here are helpful FAQ's for DocuSign.

UC Davis/UC Davis Health
Medical Separation Review Form This form is used to initiate a Medical Separation.  Managers and supervisors must contact UC Davis or UC Davis Health DMS  department prior to completing this form. UC Davis/UC Davis Health
Interactive Process Documentation Form This form is used to document an Interactive Process meeting. To obtain this document, please send an email to reasonableaccommodationrequest@ucdavis.edu UC Davis/UC Davis Health