Please complete and sign the first page where indicated, and return to Humboldt State University (HSU) Human Resources. A meeting will be scheduled with the employee/applicant and ADA Coordinator to begin the interactive process and discuss the accommodation
request. For employees, the supervisor will be included in the interactive process. If you have any questions, please contact Nancy Resnick, ADA Coordinator, at 707.826.3626 or confidential fax at 707.826.3625. For more information regarding accommodation, you may also visit the HSU Human Resources website at http://www.humboldt.edu/hsuhr. Individuals in need of a telecommunications relay
service may contact the California Relay Service at 877.735.2929 TTY.