INSTRUCTIONS

This form is for UCSF Campus staff and faculty only.

Submit this form to request assistance with a design project related to new building design, existing building or space redesign, task design, or equipment/tool design. Underlined text are hyperlinks to other documents.

Before you PROCEED:

• Confirm employment status is UCSF CAMPUS.
• Review Which Ergonomics Program Should I Contact?
• UCSF Health employees should not use this form. Contact UCSF Health Ergonomics instead.
• If this project involves UCSF Campus and other types of employees or people, provide details in the form.
• Identify the initial primary contact person.
• This person may be a manager, supervisor, or someone who will coordinate on behalf of this project.
• Have photos or files ready to submit, if these would be helpful.

Thank you for submitting this inquiry to the UCSF Ergonomics & Human Factors Program. We will contact you if we need more information and for the next steps.

If you need assistance with digital accessibility as you complete this form, let us know.