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At Lehigh University, anyone who handles personal information about students or other staff members has the obligation to maintain strict confidentiality and to comply with the requirements of the Family Educational Rights and Privacy Act (FERPA) and the Health Insurance Portability and Accountability Act (HIPAA). If you have questions, please contact email@example.com.
Please be aware that this form is for NEW requests only. If you need to renew your accommodation or request an additional accommodation, please log in to your Accommodate Account and submit a supplemental request.
Your Employee ID/LIN # can be found by logging into Lehigh Connect, going to Employee Self Service and clicking on My Profile.
Please use your Lehigh University email.
Accommodation Specific Information
Please type your name to act as an electronic signature.