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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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