Forms

The University of Pennsylvania is an equal opportunity employer with a policy of nondiscrimination. As a federal contractor, Penn must comply with federal regulations pertaining to affirmative action, equal opportunity, nondiscrimination and reasonable workplace accommodations. We ask your assistance in helping us to meet our federal compliance obligations to monitor our recruitment and hiring processes.

Voluntary Self-Identification

We invite you to self-identify your sex and race as well as whether you have a disability or are a covered veteran as defined on the Voluntary Self ID Form (PDF) or accessed through Workday* (PennKey required.)

*To update your personnel record, please go to Workday (PennKey required) or contact your human resources contact or department chair.

Self-identification of a disability or veteran status is strictly voluntary. You may self-identify at any time during your employment with the University. Completed self-identification forms are maintained in files separate from that individual's personnel file and are held in strict confidence, except that:

• Administrators, managers, or supervisors may be informed of any work restrictions or reasonable accommodations;
• First aid or safety personnel may be informed, to the extent necessary, to administer any emergency treatment; and
• Government officials may review the forms in conjunction with an investigation or audit of the University's compliance with relevant federal, state or local law.  

Faculty and staff members must complete the form, print, sign and submit it to OAA•EOP. If you have questions or need a reasonable accommodation to complete the form, please contact the Office of Affirmative Action at (215) 898-6993.

Bias Reporting Form

Individuals may report their concerns about having been treated in a biased or discriminatory manner by completing a Bias Incident Reporting form. The report will be directed to the appropriate office for follow up and/or support. In addition, the University has resource offices available to respond to complaints and concerns, including the Office of Affirmative Action and Equal Opportunity Programs, the Office of Community Standards and Accountability, the Office of Staff and Labor Relations, in the Division of Human Resources, and the Office of the Vice Provost for Faculty.

If you have questions or need a reasonable accommodation to complete the form, please contact the Office of Affirmative Action and call (215) 898-6993.

• Bias Reporting Incident Form

Complaint Forms

The information you provide on this form will be maintained confidentially to the fullest extent possible.

The form is a non-interactive PDF form. Please print out the form and submit the completed form and other necessary documents to the Office of Affirmative Action & Equal Opportunity Programs. If you have questions or need a reasonable accommodation to complete the form, please contact the Office of Affirmative Action or call (215) 898-6993.

• Complaint Form (Harassment/Discrimination) (PDF)
• Complaint Form (Harassment/Discrimination) (Word)

Accommodation Services

• To request a Reasonable Accommodation, please complete and return the appropriate form(s) to oaaeop@pobox.upenn.edu.
• Request documentation from an appropriate medical provider and have it sent to OAA/EOP via email: oaaeop@pobox.upenn.edu or fax: (215) 746-7088.
• Complete and submit additional forms for Parking accommodations as directed on the Penn Access Transit Form.
• Reasonable Accommodation Request Form.(PDF) 
  Online PDF form used to request reasonable workplace accommodations. Please complete all information, print, sign and submit the form to our office.
• Reasonable Accommodation Medical Authorization Form (PDF / for medical provider) 
  In addition to filling out the Reasonable Accommodations Request Form and/or the Penn Access Transit (PAT) Request Form, staff or faculty members will need to submit a completed and signed Reasonable Accommodation Medical Authorization Form from their medical provider. This must be completed in order to process the employee's request (except for pregnancy or childbirth related accommodations).
• Penn Access Transit Request Form (PDF) 
  Penn Access Transit (PAT) Request Form is used to register Faculty and Staff for the use of the service. PAT service is transportation service available for faculty, staff and students with mobility and vision disabilities. You must have authorization from our office or Disability Services (for students). Faculty and staff members must complete the form, print, sign and submit it to OAA•EOP along with any needed medical documentation to register for this service.
• Penn Access Transit Medical Authorization Form (PDF)