Employee Pregnancy-Related Accommodations - 402.23
Employee Accommodation Forms
Use the appropriate form to request an employment accommodation. The policy explains eligibility, documentation, and the accommodation process.
Employee Accommodation FormAccommodation Medical Inquiry Form
I. Policy Statement
- It is the policy of the University of Arkansas at Fort Smith (University) to provide
equal access and opportunity to Qualified Employees in compliance with the Pregnant
Workers Fairness Act, 42 U.S.C. §§ 2000gg – 2000gg-6, and other laws that prohibit
sex discrimination and protect pregnancy rights. The University prohibits discrimination
based on Pregnancy, Childbirth, or Related Medical Conditions in all aspects of the
application process and the employment relationship.
- The University will provide (and will not unnecessarily delay) Reasonable Accommodations
to the Known Limitations related to the Pregnancy, Childbirth, or Related Medical
Conditions of a Qualified Employee, unless the accommodation would impose an Undue
Hardship on the operation of the business of the University.
- The University will not require a Qualified Employee affected by Pregnancy, Childbirth,
or Related Medical Conditions to accept an accommodation other than any Reasonable
Accommodation arrived at through the Interactive Process.
- The University will not deny employment opportunities to a Qualified Employee if such
denial is based on the need of the University to make Reasonable Accommodations to
the Known Limitations related to the Pregnancy, Childbirth, or Related Medical Conditions
of the Qualified Employee.
- The University will not require a Qualified Employee to take leave, whether paid or
unpaid, if another Reasonable Accommodation can be provided to the Known Limitations
related to the Pregnancy, Childbirth, or Related Medical Conditions of the Qualified
Employee. Nothing herein prohibits leave as a Reasonable Accommodation if that is
the Reasonable Accommodation requested or selected by the employee, or if it is the
only Reasonable Accommodation that does not cause an Undue Hardship.
- The University will not take adverse action in terms, conditions, or privileges of employment against a Qualified Employee on account of the Qualified Employee requesting or using a Reasonable Accommodation to the Known Limitations related to the Pregnancy, Childbirth, or Related Medical Conditions of the Qualified Employee.
II. Scope of Application
- This policy applies to all applicants seeking employment with the University and University
employees. Accommodations for students (including graduate assistants) pertaining
to Pregnancy, Childbirth, and Related Medical Conditions, are addressed through the
University’s Title IX Policy.
- Except as described in specific University policies, the policies and procedures concerning
accommodations for Pregnancy, Childbirth, or Related Medical Conditions for Applicants
and Employees are coordinated by Human Resources Department. Contact information is
as follows:
- Director of Human Resources/EEO Officer
University of Arkansas at Fort Smith
P.O. Box 3649
5210 Grand Avenue
Fullerton Administration, Room 217B
Telephone: 479-788-7086 - Associate Director of Human Resources/Title IX Deputy Coordinator for Employees, Visitors,
and Associates
University of Arkansas at Fort Smith
P.O. Box 3649
5210 Grand Avenue
Fullerton Administration, Room 217A
Telephone: 479-788-7084
- Director of Human Resources/EEO Officer
III. Definitions
- The term “Applicant” means any individual desiring employment with the University
by submitting appropriate application materials for a specific, vacant position.
- The term “Communicated to the Employer,” with respect to a Known Limitation, means
an employee/applicant or the employee/applicant's representative (a family member,
friend, health care provider, or other representative) has made the University aware
of the limitation by communicating with a supervisor, a manager, someone who has supervisory
authority for the employee or who regularly directs the employee's tasks (or the equivalent
for an applicant), human resources personnel, or another appropriate official, or
by following the steps in this policy to request an accommodation.
The communication (1) may be made orally, in writing, or by another effective means and (2) need not be in writing, be in a specific format, use specific words, or be on a specific form to be considered communicated to the employer. -
The term “Essential Functions” means the fundamental job duties of the employment position that the employee/applicant with a Known Limitation holds or desires. The term “Essential Functions” does not include the marginal functions of the position.1
-
The term “Interactive Process” means an informal process between the University and the employee/applicant seeking an accommodation. This process should identify the Known Limitation and the adjustment or change at work that is needed due to the limitation and potential Reasonable Accommodations. The employer and employee/applicant are expected to engage in the Interactive Process in a good faith manner.
- The term ‘‘Known Limitation’’ means physical or mental condition related to, affected
by, or arising out of Pregnancy, Childbirth, or Related Medical Conditions that the
employee/applicant or employee/applicant’s representative has communicated to the
University. Physical or mental condition is an impediment or problem that may be modest,
minor, and/or episodic.
The physical or mental condition may be that an employee or applicant affected by Pregnancy, Childbirth, or Related Medical Conditions has a need or a problem related to maintaining their health or the health of the pregnancy. The definition also includes when an employee or applicant is seeking health care related to Pregnancy, Childbirth, or a Related Medical Condition itself. - The term “Pregnancy, Childbirth, or Related Medical Conditions” means the following:
pregnancy and childbirth refer to the pregnancy or childbirth of the specific employee
or applicant in question and include, but are not limited to, current pregnancy; past
pregnancy; potential or intended pregnancy; labor; and childbirth. Related medical
conditions are medical conditions relating to the pregnancy or childbirth of the specific
employee or applicant in question.
- The term ‘‘Qualified Employee’’ means an employee or applicant who, with or without
Reasonable Accommodation, can perform the Essential Functions of the employment position.
An employee or applicant shall be qualified if they cannot perform one or more Essential
Functions if any inability to perform an Essential Function is for a temporary period,
the Essential Function could be performed in the near future, and the inability to
perform the Essential Function can be reasonably accommodated.
-
The term “Reasonable Accommodation” generally means modifications or adjustments to a job application process that enables a qualified Applicant with a Known Limitation to be considered for the position such qualified applicant desires; modifications or adjustments to the work environment, or to the manner or circumstances under which the position held or desired is customarily performed, that enable a employee with a Known Limitation to perform the Essential Functions of that position; modifications or adjustments that enable the University’s employee with a Known Limitation to enjoy equal benefits and privileges of employment as are enjoyed by its other similarly situated employees without Known Limitations; or temporary suspension of Essential Functions and/or modifications or adjustments that permit the temporary suspension of Essential Functions.
The University’s obligation is to provide Reasonable Accommodation for Pregnancy, Childbirth, or Related Medical Conditions, not necessarily the individual’s preferred accommodation.2 -
The term "Undue Hardship" means significant difficulty or expense incurred by the University.3
1 See 29 C.F.R. § 1636.3(g) (listing factors to use in determining essential job functions).
2 See 29 C.F.R. § 1636.3(i) (listing examples of Reasonable Accommodations). Possible
accommodations are based on the particular facts of each individual (case-by-case
basis). Reasonable Accommodations do not include personal use items needed to accomplish
daily activities.
3 See 29 C.F.R. § 1636.3(j) (listing factors to consider in determining whether an Undue Hardship exists including those factors related to the temporary suspension of an Essential Function and predictable assessments). A determination of Undue Hardship should be grounded in careful analysis, and not based on improper attitudes toward the individual’s Known Limitation. Nor can Undue Hardship be based on the fact that provision of a Reasonable Accommodation might have a negative impact on the morale of other employees.
IV. Confidentiality
- Documentation obtained in connection with a request for Reasonable Accommodation shall
be maintained by the Human Resources Department in files separate from the individual’s
personnel file. Such information should be restricted to a need-to-know basis.
Human Resources may share certain information with the supervisor or person with supervisory authority, manager, or other University official(s) as necessary to make appropriate determinations on a Reasonable Accommodation request. Employees receiving such information in connection with the Reasonable Accommodation process must keep the information confidential. - The fact that a Reasonable Accommodation has been requested or approved and information
about functional limitation is also confidential.
- Employees are not required nor encouraged to disclose medical information or information about an impairment to their supervisors.
V. Accommodation Requests
-
Request Process: An employee seeking a Reasonable Accommodation for Pregnancy, Childbirth, or Related Medical Conditions should contact the Director or Associate Director of Human Resources to discuss the process and obtain necessary forms for requesting accommodations. The employee may submit the completed Job Accommodation Request Form, along with the Medical Inquiry Form (if applicable), to the Director or Associate Director of Human Resources.
If an employee notifies a supervisor,4 the employee’s manager, someone who has supervisory authority for the employee or who regularly directs the employee's tasks, or another appropriate official of a Known Limitation related to Pregnancy, Childbirth, or Related Medical Condition, the supervisor, manager, person with supervisory authority, or other appropriate official must contact the Director or Associate Director of Human Resources by: (1) submitting the Job Accommodation Request Form (if provided by the employee) to the Director or Associate Director of Human Resources, (2) contacting the Director or Associate Director of Human Resources by email at
mandy.keyesFREEuafs or brittany.slamonsFREEuafs, or (3) contacting the Director or Associate Director of Human Resources in person or by phone at 479-788-7086 or 479-788-7084. Questions regarding an employee's medical condition should be left to the University's Director or Associate Director of Human Resources.
An applicant requesting a Reasonable Accommodation in the application/selection process may obtain a Job Accommodation Request Form to the Director or Associate Director of Human Resources. Once completed, the form should be submitted to the Director of Associate Director of Human Resources. The form should be submitted prior to the posting closing date and as soon as possible prior to the interview to allow enough time to process the request.
If an applicant notifies someone with responsibility for the hiring process of a Known Limitation related to Pregnancy, Childbirth, or Related Medical Condition, that person must contact the ADA Coordinator by: (1) submitting the Job Accommodation Request Form (if provided by the applicant) to the Director or Associate Director of Human Resources, (2) contacting the Director or Associate Director of Human Resources by email at mandy.keyesFREEuafs or brittany.slamonsFREEuafs, or (3) contacting the Director or Associate Director of Human Resources in person by phone at 479-788-7086 or 479-788-7084. Questions regarding an applicant’s medical condition should be left to the University’s Director or Associate Director of Human Resources.
Employees or applicants needing assistance or information may contact the Director or Associate Director of Human Resources at mandy.keyesFREEuafs or brittany.slamonsFREEuafs or 479-788-7086 or 479-788-7084. - Assessment of Limitation: The Director or Associate Director of Human Resources will determine whether the
employee or applicant has a Known Limitation related to Pregnancy, Childbirth, or
Related Medical Conditions by evaluating medical information received as necessary
to make that determination.
The Director or Associate Director of Human Resources may seek supporting, reasonable documentation (that confirms the physical or mental condition; that confirms whether it is related to, affected by, or arising out or Pregnancy, Childbirth, or Related Medical Conditions; and that describes the adjustment or change of work needed due to the limitation from a health care provider) from an employee or applicant who requests an accommodation when it is reasonable under the circumstances for the University to determine whether the employee or applicant has a physical or mental condition related to, affected by, or arising out of Pregnancy, Childbirth, or Related Medical Conditions (a limitation) and needs an adjustment or change at work due to the limitation.
If the employee/applicant voluntarily provides written consent, the Director or Associate Director of Human Resources may contact the medical provider if additional information is needed to determine if the individual has a Known Limitation or to assist in determining an effective Reasonable Accommodation. - Interactive Process: The Director or Associate Director of Human Resources will facilitate the Interactive
Process with the employee or applicant, the appropriate supervisor(s), Department
Human Resources Representative (if designated) and other University officials, as
appropriate.
If an employee/applicant with Known Limitations related to Pregnancy, Childbirth, or Related Medical Condition rejects a Reasonable Accommodation that is necessary to enable the employee to perform an Essential Function of the position held or desired or to apply for the position, or rejects the temporary suspension of an Essential Function, and, as a result of that rejection, cannot perform an Essential Function of the position, or cannot apply, the individual will not be considered “qualified.” - Documentation: At the conclusion of the Interactive Process, the Director or Associate Director of
Human Resources will ensure that the outcome of the process is documented and will
work with the supervisor or hiring official and the employee/applicant regarding the
implementation of any Reasonable Accommodations that are approved. A supervisor or
manager, employee, or applicant can request to revisit an approved accommodation for
possible adjustments, at any time, by contacting the Director or Associate Director
of Human Resources.
In the event that the requested accommodation is not approved because it would constitute an Undue Hardship, the Director or Associate Director of Human Resources will document the basis for that determination in consultation with the supervisor or hiring official. The Department (Supervisor) is required to provide a statement supporting Undue Hardship to the Director or Associate Director of Human Resources.
4 The employee or Applicant does not need to use the words, “Reasonable Accommodation,” but may simply state that they need an adjustment, modification, assistance or change at work due to a Known Limitation or in the application process due to the nature of their Known Limitation.
VI. Records
Primary documentation pertaining to the Reasonable Accommodation request for applicants seeking employment and employees will be kept in the Human Resources Department. The confidentiality of this information—including but not limited to its storage in a file separate from the individual’s personnel file—shall be maintained as set forth in Section IV.A.
VII. Administrative Review
- An employee or applicant may request an administrative review of a denial of an accommodation
request under this policy by the appropriate campus administrator in chain of command.
- The administrative review may be based only on one or more of the following reasons:
the (1) decision is contradictory to University policy or applicable law or (2) Interactive
Process did not substantially comply with the guidelines in this Policy.
- The request for review must be submitted within ten (10) business days after employee
or applicant has received the official decision notice in writing. The reviewing administrator
shall communicate his or her decision in writing and the decision is final and not
subject to further appeal.
- An employee or applicant can contact the Director or Associate Director of Human Resources with any questions about the administrative review process.
VIII. Complaint
Harassment, discrimination against, and retaliation against any employee or applicant
on the basis of Pregnancy, Childbirth, or Related Medical Conditions, due to an accommodation
request, due to their opposition to any act or practice made unlawful by Pregnant
Workers Fairness Act, or because such employee or applicant made a charge, testified,
assisted, or participated in any manner in an investigation, proceeding, or hearing
under the Act or this policy is strictly prohibited.
Any employee or applicant who believes that he or she has been harassed, discriminated
against, or retaliated against on the basis of Pregnancy, Childbirth, or Related Medical
Conditions, due to an accommodation request, due to their opposition to any act or
practice made unlawful by Pregnant Workers Fairness Act, or because such employee
or applicant made a charge, testified, assisted, or participated in any manner in
an investigation, proceeding, or hearing under the Act or this policy should contact
the Director or Associate Director of Human Resources by email at mandy.keyesFREEuafs or brittany.slamonsFREEuafs.
Any supervisor or person with supervisory authority, manager, or other administrator
who receives a written or oral report of discrimination, harassment, or retaliation
on the basis of Pregnancy, Childbirth, or Related Medical Conditions, due to an accommodation
request, due to an individual’s opposition to any act or practice made unlawful by
Pregnant Workers Fairness Act, or because an individual made a charge, testified,
assisted, or participated in any manner in an investigation, proceeding, or hearing
under the Act or this policy shall promptly notify the Director or Associate Director
of Human Resources by email at mandy.keyesFREEuafs or brittany.slamonsFREEuafs.
IX. Limitations
- Nothing in this policy shall be construed as creating rights or obligations in excess
of any requirements of applicable law and regulations.
- Any questions regarding interpretation of this policy and procedures can be referred to the Human Resources Department.