This form is for submitting Tier 1B, Tier 2A and Tier 2B requests.
The content of this form will remain confidential to the person to whom it is originally submitted and to those individuals who are consulted in this process, namely the Faculty Relations Office and the Manager of Return to Work and Accommodation Services (if applicable), as well as the Head and the Dean or Dean’s delegate.
The Dean or Dean’s delegate, supported by the Faculty Relations Office, may request additional information from the Member in establishing whether accommodation is required pursuant to the Human Rights Code. The Dean, or Dean’s delegate, shall provide their decision regarding the Member’s request directly to the Member with a copy to the Head in a departmentalized faculty.