Forms
Office of Equal Opportunity Programs
The University of Pennsylvania is an equal opportunity employer with a policy of nondiscrimination. As a federal contractor, Penn must comply with federal regulations pertaining to equal opportunity, nondiscrimination and reasonable workplace accommodations. We ask your assistance in helping us to meet our federal compliance obligations to monitor our recruitment and hiring processes.
FORMS
Reasonable Accommodation Request Forms
To request a reasonable accommodation, please complete the Reasonable Accommodation Request Form and have your medical provider complete the Reasonable Accommodation Medical Authorization Request Form. Have all forms completed, signed and submitted to the Office of Equal Opportunity Programs either by email oeop@pobox.upenn.edu or fax (215) 746-7088. The medical accommodation form must be completed in order to process the employee's request (except for pregnancy or childbirth related accommodations).
Reasonable Accommodation Request Form (PDF)
Reasonable Accommodation Medical Authorization Form (PDF / for medical provider)
Parking Accommodations (Penn Access Transit)
Penn Access Transit (PAT) Request Form is used to register Faculty and Staff for the use of the service. PAT service is transportation service available for faculty, staff and students with mobility and vision disabilities. You must have authorization from our office or Disability Services (for students). Faculty and staff members must complete the form, print, sign and submit it to OEOP along with any needed medical documentation to register for this service.
Penn Access Transit Request Form (PDF)
Penn Access Transit Medical Authorization Form (PDF)
For further information refer to "Protecting Penn Data" on Penn Privacy website.
For questions, email oeop@pobox.upenn.edu.
Please use the link on the title of the form to download, complete, print and return to our office for processing. Forms are viewable and some are interactive using Adobe Acrobat Reader (PDF), unless otherwise notated. All forms require Adobe Acrobat Reader for viewing. If you do not have this software, you can download Adobe Acrobat Reader.