Reasonable Accommodation


Cal Poly Humboldt provides reasonable accommodations for employees with certified disabilities resulting functional limitations in their ability to perform the essential function of their job. A reasonable accommodation is one that enables the employee to perform the essential functions of their position, is medically necessary, and does not create an undue hardship in the performance of operational needs. Please contact the campus ADA Coordinator to obtain a Request for Certification form. It is your responsibility to see that your health care provider returns the certification form to the Human Resources Office. You are not required to disclose to your medical diagnosis or other medical facts relating to your disability when requesting an accommodation. It is necessary however, that your doctor or licensed healthcare provider 1.) certifies your disability, 2.) provided the nature of your disability (temporary or permanent) and 3.) explains your functional limitations as they relate to the essential functions of your job responsibilities. If you are only requesting an ergonomic workstation evaluation, you do not need to complete the certification form. Please contact Paul Vrable in Risk Management & Safety at (707) 826-5711 to learn more about ergonomic resources.

Involvement of ADA Coordinator

Many conditions and accommodations are obvious and unquestioned. In situations where an accommodation is requested and there are questions regarding either the existence of a qualified disability, the need for an accommodation, or the nature of the accommodation to be provided, campus managers need to consult with the ADA Coordinator in Human Resources. If a manager questions the condition, restriction or proposed accommodation, s/he must discuss the reservations with the ADA Coordinator before engaging in the interactive process with the employee. This will avoid managers misunderstanding their obligations under University policy.

The ADA Coordinator assists managers in evaluating needed information, employees' capabilities and limitations to perform jobs, entitlement to accommodation, appropriateness of accommodations, and related issues.

1. Required Forms

To assist in processing requests for accommodation, the ADA Coordinator utilizes the Accommodation Request Form, ADA/FEHA Job Duty Evaluation Checklist, Guidelines for Evaluating Impairments and Authorization to Release Medical Records. These forms may also be requested from the ADA Coordinator.

Disability Interactive Process

  • This request form should be utilized for COVID related disability accommodations. Employee/applicant shall contact the treating health care provider to complete this form. Employee/ applicant should return the completed form to ADA coordinator at Humboldt-HR.
  • This confidentiality form is to be used by applicants or employees who are requesting an accommodation based on a disability. Applicants and employees requesting services will be subject to qualification standards as defined by federal and state laws relating to disability.
Forms for Your Visit to the Doctor

Mobility Assistance Requests

2. Interactive Process

An interactive process is required whenever an accommodation is requested. The interactive process seeks to resolve questions and to provide management with useful information and suggestions on how accommodation issues may be handled.

3. Confidential, Personal, and Medical Information

Commonly, medical and other professionals need to provide verification of conditions and limitations. Such information is confidential and must be handled carefully. It is common for doctors to both acknowledge a condition and provide a description of limitations or accommodations that are required or suggested.

Cal Poly Humboldt ADA Coordination

The following individuals provide ADA coordination in their specific areas, and may be contacted with regard to ADA issues, questions or concerns in that area.

For Students

Kevin O'Brien, Director Student Disability Resources Center or (707) 826-4678

For Employees and Applicants

Scott M. Kasper, PsyD
ADA Coordinator
(707) 826-3626

Ariel Aaron
Interim Campus ADA Coordinator
(707)  826-5171