DMS Forms

DMS Temporary Accommodation Online Form - This form is used by managers and supervisors to document temporary accommodation.  You may also download in MS Word or PDF.

DMS Reasonable Accommodation Record of Action Online Form - A department uses this form to document efforts made to reasonably accommodate an employee who becomes disabled and needs assistance to perform the essential functions of their position.  See PPSM 81 and UCOP Procedure 81 for further information.  You may also download in MS Word or PDF.

DMS Medical Separation Review Form - This form is used to initiate a Medical Separation.  Managers and supervisors must contact DMS prior to completing this form. You may download in MS Word or PDF.