Accommodation Request

If you have a disability and need an accommodation to complete the online application process, please complete your Accommodation Request below and a representative will be in contact to assist you:

Are you a current Kaiser Permanente employee?


Is this request for:


Which City and State is the accommodation needed?
Please provide the specifics of the jobs(s) for which the seeker is submitting:
Do you have medical documentation to support the request for accommodation?

Allowed file types: tiff, pdf, jpg, doc, docx, txt, xls and xlsx

The information you provide will be maintained in a confidential manner. It will only be disclosed on a strict business need to know basis for the purpose of assessing and providing the requested accommodation. KP may request written documentation from the employee’s/job seeker’s health care provider. The employee/job seeker is responsible for providing KP with medical documentation that assists KP in assessing the employee/job seeker’s functional limitations to determine possible reasonable accommodations. If an employee/job seeker fails to provide necessary medical information, KP may not be obligated to provide an accommodation.