Follow the steps to successfully complete the form.

1. Locate and click the ‘Get Form’ button to access the Reasonable Accommodations Form Hud. This will open the form in the online editing space.
2. Begin by indicating your status, either as a faculty member, employee/staff, or other, by checking the appropriate box.
3. Fill in your personal information, including your name, job title, department, work address, telephone number, and email. Make sure to provide both your work and home details as requested.
4. Specify your preferred method of contact by checking the relevant box for home phone, work phone, home email, or work email.
5. Indicate your employment duration in your current position and at the University of Connecticut.
6. Input your supervisor's information, including their name, job title, department, work telephone number, and work email.
7. In Section B, describe the medical condition(s) for which you are requesting accommodations, as well as the healthcare professional who diagnosed you, including their contact information and the date of diagnosis.
8. For Section C, list the essential job functions associated with your position, referencing your job description if necessary.
9. Explain how your medical condition affects your ability to perform your essential job functions, detailing any challenges you experience.
10. Provide recommendations for reasonable accommodations and any associated costs. Attach any necessary supporting documentation.
11. Describe any current accommodations or assistive technologies you use.
12. List any discussions you've had with University employees regarding your accommodation request, including names and dates.
13. Include any additional comments you believe would aid in the evaluation of your request.
14. In the Acknowledgment section, make sure to read and understand your responsibilities. Sign and date the form to complete your submission.
15. Finally, check if any additional information is attached to your request before submission.

Take the next step towards securing your reasonable accommodations by filling out the form online today.