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OFFICE USE ONLY Case Number: MEDICAL INQUIRY FORM FOR EMPLOYEE ADA ACCOMMODATION REQUEST (To be completed by Health Care Provider) RETURN COMPLETED FORM TO: Diversity & EEO Office, Truth Hall, Room
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Office use only refers to information that is meant solely for internal use within an organization and should not be shared with external parties.
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The purpose of office use only is to ensure that certain sensitive information or internal communications are kept confidential and restricted to internal use only within an organization.
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