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UNIVERSITY OF MONTEBELLO COVID-19 REASONABLE ACCOMMODATION FALL SEMESTER 2020MEDICAL REQUEST FORM FOR FACULTY AND Staff: University of Montebello Faculty and Staff: Employee must complete Section
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The um-covid-19-medical information request form713bfdocx is a document used to request medical information related to COVID-19 for individuals seeking accommodations or specific medical considerations due to the impacts of the pandemic.
Individuals who require medical accommodations or need to report health-related information concerning COVID-19 may be required to file this form.
To fill out the form, individuals should provide personal information, details about their medical condition, and any relevant supporting documentation as required by the guidelines specified in the form.
The purpose of the form is to facilitate the collection and reporting of essential medical information to ensure that appropriate considerations and accommodations are made for individuals affected by COVID-19.
Information that must be reported includes the individual's personal details, medical history related to COVID-19, and any necessary documentation that supports the request for accommodations.
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