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Ergonomic Assessment Request Form

To request an ergonomic assessment of your work space, please enter your information into the fields provided. Please read "What to Expect" prior to requesting an appointment. Please Note: American University's Ergonomics Program is available to American University faculty and staff only. We are unable to accommodate requests from outside agencies at this time.

First and Last Name

Primary E-mail

Building and Room Number

All appointment requests must be at least 72 hours in the future. We cannot accommodate same day and next day requests at this time.

Please select a second date in the event we are unable to accommodate your first request.

Provide a description of your discomfort and/or what you hope to gain from your assessment.