University of Minnesota Duluth Home Page Occupational Ergonomics  
 
Correct Posture  Office
workstation Evaluation Request Form  		Correct Posture
Personal Information (Please fill out completely)
 Full Name
 Email
 Phone Number
 Job Title
 Department
 Workstation Address
Reason for Request  (Answer Yes or No where appropriate)
New employee
New Workstation
Experiencing Disconfort
Other
Type of Disconfort (please describe your disconfort in few lines)

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 Environmental Health and Safety Office     
URL: http://www.d.umn.edu/ehso
13 Darland Administration Building
1049 University Drive
Duluth, MN 55812
218-726-7273
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The University of Minnesota is an equal opportunity educator and employer.
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