Use this web form if you have concerns related to COVID-19 and wish to request a modification to your job duties or your class format.

Non-ADA COVID Job/Class Modification Request Form
Please identify your role in the EC Community
Please select the modification you are requesting. If you select "Other", please detail your request in the "Comments" section.
Please select all that apply. If you select "Other" please include the reason for your request in the comments section below.
Please provide any explanation needed for your request if not listed above and/or details on your modification request.
I certify the above information is truthful and understand that misrepresenting my need for a job or classroom modification is grounds for discipline, up to and including termination for employees or suspension for students.

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