SPF Accomodation Request Form

Sponsored Programs Foundation
Routing Instructions: 

Please complete and sign the first page where indicated, and return to Cal Poly Humboldt (Humboldt) Human Resources. A meeting will be scheduled with the employee/applicant and ADA Coordinator to begin the interactive process and discuss the accommodation request. For employees, the supervisor will be included in the interactive process. If you have any questions, please contact ADA Coordinator at 707.826.3626 or confidential fax at 707.826.3625. For more information regarding accommodation, you may also visit the Humboldt Human Resources website at http://www.humboldt.edu/hsuhr. Individuals in need of a telecommunications relay service may contact the California Relay Service at 877.735.2929 TTY.