Disability Management Services Forms

Form

Description

Campus

Temporary Accommodation Form

To assist in documenting the interactive process, this form can be used by managers and supervisors to document temporary accommodation(s).  

Campus: Managers & Supervisors using the fillable PDF, submit to: Disability Management Services at melwells@ucdavis.edu

Health: Managers & Supervisors using the fillable PDF, submit to: Disability Management Services at kkjlee@ucdavis.edu.

For questions on the campus form please email melwells@ucdavis.edu or for health questions kkjlee@ucdavis.edu.

Here are helpful FAQ's for DocuSign.

UC Davis/UC Davis Health

Permanent Accommodation Form

This form is used by both campus and health managers and supervisors to document a permanent accommodation.  Managers & Supervisors using the fillable PDF, submit to: Disability Management Services at melwells@ucdavis.edu.  

For questions on the DocuSign or PDF form please email melwells@ucdavis.edu

Here are helpful FAQ's for DocuSign.

UC Davis/UC Davis Health
Medical Separation Review Form This form is used to initiate a Medical Separation.  Managers and supervisors must reach out to their assigned DMS counselor or dmshelp@ucdavis.edu prior to completing this form. UC Davis/UC Davis Health