This form is used by NCCU employees to initiate a request for a reasonable accommodation under the Americans with Disabilities Act (ADA). Upon submission, the form collects the employee's contact information, job details, department, and supervisor information, then automatically triggers a notification to HR Employee Relations with all submitted details. A tracking ticket is simultaneously created in TeamDynamix and assigned to the Employee Relations group, allowing HR to manage and monitor the request through their standard ticketing queue. The employee receives a confirmation email with their ticket number and a direct link to upload any required documentation, including the completed Medical Release Authorization Form.