Evaluation Form for Diving Safety

Instructions: Complete this form to request a diving safety evaluation. Contact the Diving Safety Program at divesafe@uw.edu with questions.

The University of Washington is committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities. Contact the Environmental Health & Safety Department at ehsdept@uw.edu or call (206) 543-7262 to request an accommodation.

Fields marked with an asterisk {* ) are required.

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Please enter a valid ten-digit phone number with optional extension (e.g (206) 543-7262). Phone numbers should only contain numbers and + and - and ( and ) and spaces.