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365 Pine Tree Road, Ithaca, New York 14850

365 Pine Tree Road, Ithaca, New York 14850 2025

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The document is a request form for disability accommodation under the Americans with Disabilities Act and New York Human Rights Law, intended for employees of Cornell University. It includes sections for employee information, authorization for medical communication, and a medical inquiry form to assess the nature of the disability and the need for accommodations. The form emphasizes confidentiality and compliance with the Genetic Information Nondiscrimination Act.

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