Ergonomic Evaluation Request Form 

 

Please complete the form below and choose two possible times to schedule your ergonomic evaluation. Upon notification an RM&S representative will contact you, via e-mail, to confirm a date and time. If you have any questions please contact Risk Management & Safety at x4502 or email Heather Zarnesky at hzarnesk@csusm.edu.

PLEASE USE INTERNET EXPLORER TO COMPLETE THIS FORM

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