Ergonomics Assessment Request Form

Prior to submitting a request for an office ergonomics assessment, please complete the Ergonomics Self-Assessment Checklist. The completed pdf can either be emailed to or uploaded with the form below.

Have you completed the Self-Assessment Checklist (for office & shared work station assessments only)
The total size of uploaded attachments can be no larger than 15MB
Where in your body are you experiencing discomfort?