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  • Reasonable Accommodation Form

Get Reasonable Accommodation Form

REQUEST FOR REASONABLE ACCOMMODATION FORM The Salem Public Library seeks to make its services, facilities, and programs as accessible as possible to the public, including those who have disabilities.

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How to fill out the Reasonable Accommodation Form online

Filling out the Reasonable Accommodation Form is an important step in ensuring that users can access services, facilities, and programs as needed. This guide provides step-by-step instructions to help you complete the form efficiently and effectively online.

Follow the steps to successfully submit your accommodation request.

  1. Click ‘Get Form’ button to obtain the form and open it in an editor.
  2. Fill in your contact information. Start by entering the date, your full name, street address, city, state, zip code, and both day and evening phone numbers. Additionally, provide your email address and indicate your preferred method of contact.
  3. In the accommodation request section, specify the reasons for your accommodation request by checking all applicable boxes. You can choose from options such as participating in a program, asking for an exception to a rule, policy, or procedure, or providing other reasons. Make sure to elaborate on the specific program or rule as needed.
  4. Describe the accommodation you are requesting in detail. Be clear and specific about what you need to ensure full participation.
  5. Next, explain how the requested accommodation will assist you. If necessary, attach additional pages to provide more information.
  6. Once you have filled out all the necessary fields and provided the required details, review your form for accuracy.
  7. Finally, save your changes, and choose to download, print, or share the completed form as needed. Make sure to submit it to the Salem Public Library at least five business days before the event for which the accommodation is requested.

Complete your Reasonable Accommodation Form online today to ensure your needs are met.

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Requesting a Reasonable Accommodation To enable the IRS to keep accurate records regarding requests for accommodation, employees should follow up an oral request for accommodation by completing the Reasonable Accommodation Request, Form 13661.

What to Include in Your Reasonable Accommodation Letter Your name and position. ... The date. ... Information about your disability. ... A request for accommodation. ... Accommodation ideas. ... Medical information.

Examples of reasonable accommodations include providing interpreters, readers, or other personal assistance; modifying job duties; restructuring work sites; providing flexible work schedules or work sites (i.e. telework) and providing accessible technology or other workplace adaptive equipment.

Dear [Insert employer's name here]: I have been having medical issues that have affected my mood, sleep schedule, concentration, and focus. I would like to request accommodations so that I might be able to perform my job effectively before my performance starts to suffer.

What to Include in Your Reasonable Accommodation Letter Your name and position. ... The date. ... Information about your disability. ... A request for accommodation. ... Accommodation ideas. ... Medical information.

Examples of reasonable accommodations include making existing facilities accessible; job restructuring; part-time or modified work schedules; acquiring or modifying equipment; changing tests, training materials, or policies; and providing qualified readers or interpreters.

Dear [Employee name]: On [date], you informed [name and title] of your medical condition and requested a job accommodation to be able to perform your job functions. [Company Name] complies with the Americans with Disabilities Act (ADA), and we want to support you in continuing to perform your job duties.

Dear Mr./Ms. (Contact at Human Resources Department): I work at ________(Company Name) as a ________(Your Job Title) and have been in this position since ____ (Date). I am writing to request that you provide __________________(list accommodation needed here) as a reasonable accommodation under the ADA.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232