UC Berkeley

Be Well at Work - Ergonomics


Product Quote Requests &

Ergo Matching Funds Application


Important Note: Fiscal Year End Ergo Matching Funds Pause

The Ergo Matching Funds program will be on pause for the end of the fiscal year. Submissions received after 5/16/25 will be processed in the order they are received starting 7/1/25.


UC Berkeley University Health Services funds an Ergonomics Matching Funds Program through the Be Well at Work - Ergonomics program that offers a funding incentive of 50% of the cost of ergonomic equipment up to a maximum of $1,000 per employee in matching funds, or potential ergo project matching funds via consultation with Be Well at Work - Ergonomics, to aid departments in modifying on-campus and remote work spaces according to ergonomic guidelines for campus and remote computer workstations and/or non-office environments.


Matching Funds are only eligible to be used towards products from Be Well at Work - Ergonomics’ approved catalog and/or specific recommendations from a UC Berkeley campus ergonomist. For further details regarding the rules, qualifications, and restrictions of the matching funds program, please visit our website:

https://uhs.berkeley.edu/facstaff/ergonomics/matching-funds


Direct Ergo Matching Funds:

The Be Well at Work - Ergonomics Program has implemented a Direct Matching Funds process in place of the former Reimbursement Matching Funds to ensure departments are ordering correct ergo equipment and to eliminate delay in Matching Funds usage. With the Direct process, Be Well at Work - Ergonomics helps with coordinating quotation and purchasing logistics of the selected/recommended products with the appropriate vendor. Matching Funds are immediately applied during the purchase while the department is charged their respective half of the costs. Departments are responsible for handling existing furniture removal as needed and coordinating delivery with the vendor when contacted.


Ergo Project Matching Funds:

If a department is looking to order a number of computer ergonomics furniture (tables & chairs) products simultaneously or have a non-office environment to be modified, then the individual Matching Funds parameters (50% match up to $1,000) would not apply. Instead, potential Ergo Project Matching Funds would be discussed with the department. This form is also utilized to capture Ergo Project Matching Funds applications. Funding for projects is not guaranteed and variable in availability. You must consult with a campus ergonomist prior to applying for Project Ergo Matching Funds to receive approval. You may request ergo project consultation via the evaluation request form.


For questions regarding the Ergo Matching Funds process please contact csergonomics@berkeley.edu.


For general ergo questions, please email ergonomics@berkeley.edu.

Application Type

Please indicate whether you are applying for Individual Ergo Matching Funds or Project Ergo Matching Funds and if the order will be computer and/or non-office related.


Ergo projects are intended for unit or department-level ergo improvements and encompass scenarios that go beyond individual impact to changes ranging from a handful of work areas to wholesale room/suite/building changes. Examples include, but are not limited to: higher volume ergo furniture quotes and purchases, non-computer ergonomic tools/equipment, work area (re)designs, etc.


Your department must consult with a campus ergonomist prior to applying for Department Project Ergo Matching Funds to receive approval. You may request project consultation via the evaluation request form.

Only select "Non-Office" for non-computer work environments and tasks (ex: laboratory, custodial, etc.)

You can select both computer and non-office categories if you have conducted an evaluation and discussed quoting for a mix of both.

Ergonomics Evaluation conducted?*

While you may self-select ergo products from the approved catalog after taking the required online ergonomics self-assessment and training, if you have any specific issues or uncertainty, we advise first requesting an ergonomic evaluation with a campus ergonomist prior to moving forward with product acquisition.

As noted in terms & conditions, orders are final and not refundable/exchangeable through the Ergo Program, so request assistance as needed.


Evaluations can be requested per our website via this linked request form.

Form Entrant*

Are you entering this Matching Funds order request for yourself or on behalf of someone else?

First & Last Name

Phone

End User Info

Provide the information of individual the ergo items will be purchased for.


For Ergo Project Matching Funds, enter the information of the individual who is the project lead.

Phone
Position Classification*

Matching Funds Request

Applying for Matching Funds?*

The Ergo Matching Funds Program operates with limited funding that is intended to provide as much equitable aid to all employees at UC Berkeley as possible. Therefore, we ask that departments apply for Matching Funds in good faith; if your department is able to fully cover the cost of ergo equipment we ask that you do so.


Another another scenario which not applying for Matching Funds is relevant is providing assistance with quoting and ordering ergo equipment where an individual/department is not eligible for Matching Funds (ex: PhD students, ordering replacement equipment, etc.).


This form will allow us to assist with obtaining quotes and purchasing proper ergo equipment even when not utilizing the Ergo Matching Funds Program.

Your campus department

Supervisor or manager of the employee the items will be ordered for.

Phone
Who is your Financial Approver?*

An individual in your department authorized to approve use of your department chart string and budget expenses. May be someone different in your department than your supervisor/manager (i.e. admin assistant or business ops). Check with your supervisor/manager to confirm.


Note: Some larger departments have multiple business operations levels and have a separate finance auditing team versus those who approve use of chartstrings and budget. It is you and your supervisor/manager's responsibility to report and communicate ergo expenses to your department finance point person or team for budget reconciling purposes.

Name of individual in your department authorized to approve use of your department chart string and budget expenses. Be sure to inform them of the planned charges for ergonomic products.

Phone
Ordering For Campus or Remote?*

Will items be ordered for campus, remote (home/telework) location, or both?

Provide the campus location street address the ordered items will be delivered to.

Campus deliveries also encompass off-campus locations within the general central campus vicinity.

Building Name, Floor, Suite/Room #, etc.

Default is pre-entered as Berkeley, but change this as needed if your campus location address is situated in a city away from central campus in a nearby county vicinity (ex: Albany, Oakland, Richmond, etc.).

Remote: In-State or Out-of-State?*

For remote workers, are you located in-state, or out-of-state?

Note: Out-of-State employees need to attach their official "Flexible Work Arrangement" document (developed with your supervisor/manager) to the File Upload section at the end of this application form. This is needed proof for BearBuy to authorize out-of-state purchases and shipments.

Provide the street address for where the remote ordered items should be delivered to.

Additional location address details (Apartment #, floor, etc.) to help with delivery instructions.

Department Chart String

Enter corresponding codes as applicable.

Important Note: Providing incorrect chart string info will delay order processing. Please check with your supervisor and/or department finance personnel to ensure you are entering the correct information.

Your department chart string will not be charged until the approval process is completed.

5 digit code (typically starts with a 5)

*Changes depending on the type of purchase.

Fund identifies:

  • a restricted or designated source of money,
  • a restricted or designated use of money, or
  • a UCOP or other reporting restriction or designation.

Length in BFS is 5 characters (all numbers).

Dept ID identifies the lowest budgetary unit (also referred to as "cost centers") to which financial transactions are recorded.

Length in BFS is 5 characters (all numbers).

Link to more info

Function code identifies functional control points designated by the Office of the President. Function code is required for all current funds and is used with the following account types:

  1. Expense
  2. Budget Provision

The function code is not used with Assets, Liabilities, Fund Balances or Revenue accounts. Length in BFS is 2 characters.

Link to list of possible values for this code

Select
Caret IconCaret symbol

ChartField1 (length in BFS is 6 characters) identifies an activity that:

  1. has a beginning and an end date, or
  2. involves multiple funds, or
  3. is one of several similar activities within the same fund

Link to more info

ChartField2 is an optional field for use by departments to classify transactions. Length in BFS is 5 characters, where the two characters are the departmental prefix. The field can be alphanumeric, and is set up and maintained by the department (Link to more info).


Product Selection

Only products from the approved ergo catalog qualify for the UC Berkeley Ergonomics Matching Funds Program. Exceptions are only made at the discretionary recommendation of a campus ergonomist for circumstances such as medical accommodation. Contact the ergonomics@berkeley.edu regarding product questions or request an ergonomic evaluation prior to ordering for assistance.

If you were recommended ergo product(s) not listed in the ergo product catalog and/or custom or modified ergo furniture products (chair and/or height-adjustable table) by a campus ergonomists via ergo evaluation, list those products here.

Non-Office Ergo

Be Well at Work - Ergonomics provides consultation and guidance for a variety of non-computer work environments across campus. Some examples include: laboratory, clinical, facilities, custodial, dining, etc.

Please provide a list of non-computer ergo equipment and/or product(s) to quote separated by individual text line.


In addition to the name of the product, please also provide relevant information such as brand, quantity, unit cost, vendor(s) available from, etc.


If you have mistakenly selected this intending to choose computer-related ergo products, please correct your selection at the beginning of the application form.

Department Ergo Project

Consultation with a campus ergonomist is required for submission and approval of Department Ergo Project Matching Funds.


Computer Ergo Projects

Only furniture items from the approved ergo catalog (electric height-adjustable tables and ergo task chairs) are eligible for Ergo Project Matching Funds consideration at this time due to limited funding. Exceptions are only made at the discretionary recommendation of a campus ergonomist consulting on the project.


Non-Office Ergo Projects

Non-office ergo projects involve work environments and tasks not related to the computer (ex: laboratory, custodial, etc.). They vary widely in scope and scale as well as vendors that may be utilize for purchasing, delivery, and installation. Due to this wide variance, we require more information to assist with the review and ordering process.

Provide an overview description of the project and any notable project info.

Total cost (estimate if uncertain)

If yes, provide a list of products to quote in the following response box so that we can aid in the quotation process.

If no and you already have product quote(s) on hand, please attach them in the 'file upload' section for review.

Please provide a list of product(s) to quote for the project separated by individual text line.


In addition to the name of the product, please also provide relevant information such as brand, quantity, unit cost, vendor(s) available from, etc.


Also note if item(s) are for a specific individual so it can be process and tagged in the order as necessary.


Validation

Computer Ergonomics self-assessment module. Must be completed prior to submitting a matching funds request to be eligible. Visit our website for access instructions.

Attach as applicable:

  • RSS Computer Ergonomics self-assessment proof of completion (certificate or screenshot) for computer ergo products
  • For Out-of-State Employees: Flexible Work Arrangement document
  • Product Quotes: for ergo project matching funds review
  • BearBuy/Project order invoice(s) [if items are already purchased and opting for Reimbursement Matching Funds]
Drag and drop files here or

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.