Request an ergonomic assessment
Complete the following form to request an ergonomic assessment of your workstation.
Ergonomic assessments will be scheduled shortly after your request is submitted.
Notice Regarding Collection, Use, and Disclosure of Personal Information and Personal Health Information by the University
Your personal information and personal health information is being collected under the authority of The University of Manitoba Act. The information you provide will be used by the University for the purpose of assessing your request and contacting you about your request. Your personal information and personal health information will not be used or disclosed for other purposes, unless permitted by The Freedom of Information and Protection of Privacy Act (FIPPA) or The Personal Health Information Act (PHIA). If you have any questions about the collection of your personal information or personal health information, contact the Access & Privacy Office (tel. 204-474-9462), 233 Elizabeth Dafoe Library, University of Manitoba, Winnipeg, MB, R3T 2N2.
We ask that you please do not include any personal health information in the form.