Height adjustable loaner desk request Submit this form to request a height adjustable loaner desk from UVic Human Resources. Question Title * 1. Requestor information (Required.) V# Netlink First name Last name Department Email Question Title * 2. Requestor's supervisor information (Required.) First name Last name Department Phone number Email Question Title * 3. Who should we contact about this request? Requestor Requestor's supervisor Other (please specify) Question Title * 4. What is the location for desk delivery? (Required.) Building Office number Other information (if needed) Work Life Consultants manage the absence and disability management program (including medical accommodations and short-term illness/injury), and provide advice, guidance, and consultation in the area of disability management in the workplace. Question Title * 5. Have you contacted a Work Life Consultant about this request? Yes No (please provide additional information about your request in the comment box) Question Title * 6. Additional information about your request: Question Title * 7. Please review the privacy policy. (Required.) By submitting this form, you are acknowledging that the applicant has read and understood the privacy policy. Done