Employee Accommodation Request Form

Please describe the nature of your disability

How does your disability impact your work?

Workplace: Please describe the accommodations you are requesting

For accommodation ideas, visit the Job Accommodation Network here.

Emory University Parking Deck Locations

Emory University Campus Lowergate: 1717 Lowergate Drive, Atlanta, 30322

Emory University Campus Gambrell: 1705 Lowergate Drive, Atlanta, 30322

Emory University Campus Michael Street: 550 Houston Mill Road, Atlanta, 30322

Emory University Campus Fishburne: 1672 North Decatur Road, Atlanta, 30322

Emory University Campus Peavine: 29 Eagle Row, Atlanta, 30322

Emory University Campus Oxford: 1390 Oxford Road, Atlanta, GA 30322

Emory University Campus Starvine: 1945 Starvine Way, Decatur, 30033

Emory University Campus Clairmont (CRC): 2445 Dooley Dr, Decatur, 30033

Emory University Campus 1525 Building: 1525 Clifton Road, Atlanta, 30322

Emory University Campus 1599 Building: 1599 Clifton Rd, Atlanta, 30322

Emory University Campus EUH - Valet: 1364 Clifton Rd, Atlanta, 30322

Emory University Hospital and Clinic Parking Deck Locations

Emory University Hospital Midtown Summit Street: 501 W Peachtree St NW Atlanta, 30308

Emory University Hospital Midtown Pine Street: 25 Pine Street NE, Atlanta, 30308

Emory University Hospital Midtown Spring Street:

Emory University Hospital Midtown Orr Lot:

Emory Clinic Decatur One West: 158 W. Ponce de Leon Decatur, 30030

Emory Clinic Decatur Renaissance: 250 E. Ponce de Leon Ave, Decatur, 30030

Emory Clinic Decatur Decatur Plaza: 101 West Ponce De Leon Avenue, Decatur, 30030

Indicate your current parking assignment

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Indicate your requested parking assignment

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If yes: please upload a picture of your placard to the "Upload supporting documents" field below.

Parking/Paratransit: please provide any additional comments regarding your parking request

Upload supporting document(s)

For workplace accommodation requests, please have your provider complete the Medical Inquiry Form.

For parking accommodation requests, please have your provider complete the Parking Medical Form.

If your provider is submitting a letter in lieu of a form, the documentation requirements can be found here.

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Employee Accommodation Request Form

Employee Information

Specific Accommodation Information

Document Information