COVID-19 ADA Reasonable Accommodation Request Form

COVID-19 ADA Reasonable Accommodation Request Form

The purpose of this form is to provide the Company with sufficient information to properly evaluate your request for a reasonable accommodation from some aspect of its COVID-19 Vaccination/Testing Policy.

Supporting documentation can be submitted via email to
HRMedical@performance-contractors.com. Please include your name and personnel number in the subject line of the email.



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