J. J. Keller & Associates, Inc.
Employee Medical Inquiry Request Form for Disability Accommodations, 8.5 x 11, 75 Pack, J. J. Keller & Associates, Inc.
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R 983
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Description
- DISABILITY ACCOMMODATION: Medical request, 3-part form helps employers determine if an employee has a disability and what accommodations may be required.
- DESIGN: HR form has 3 parts. Part 1 is to help determine whether an employee has a disability, Part 2 is to help determine whether an accommodation is required, and Part 3 is to help determine accommodation options.
- QUALITY: 3-Part, 2-sided form is printed on quality bond paper. English only. Made in the USA.
- SIZE: Measures 8 1/2” x 11”. Pack of 75 sheets.
Technical Specifications
Manufacturer
J. J. Keller & Associates, Inc.
Model
68163
Size
75-Pack
Height
0 cm
Length
27.9 cm
Width
21.6 cm
Shipping & Delivery
Your order is shipped from the USA and delivered to your door in South Africa in 10–20 working days. All items are fully tracked.
Returns & Exchanges
We offer a 30-day return window. If something isn't right, contact our support team and we'll make it right.