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  • Accommodation Request Form

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Family Head of Household: Address: Cell Phone: Home Telephone: Email Address: Medical Documentation Attached. You do not have to attach medical documentation to this request to invoke your rights to reasonable accommodation. Verifications may be o.

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Step 1: Determine Whether the Employer Is Covered by the ADA. ... Step 2: Ensure a Policy and Procedure Exist for Handling Accommodation Requests. ... Step 3: Determine Whether the Employee with a Disability Is "Qualified" ... Step 4: Initiate the Interactive Process. ... Step 5: Assess if the Employee Has a Disability Under the ADA.

Identify yourself as a person with a disability. State that you are requesting accommodations under the ADA (or the Rehabilitation Act of 1973 if you are a federal employee) Identify your specific problematic job tasks. Identify your accommodation ideas.

The agency may reject an employee's request for a reasonable accommodation for the following reasons: The employee is not an individual with a qualifying disability.

Identify yourself as a person with a disability. State that you are requesting accommodations under the ADA (or the Rehabilitation Act of 1973 if you are a federal employee) Identify your specific problematic job tasks. Identify your accommodation ideas.

Unreasonable accommodations alter requirements that are essential to the program of instruction or to meet licensing prerequisites, cause fundamental alteration in the nature of the program, impose undue financial or administrative burden, or pose an appreciable threat to personal or public safety.

Keep it simple. You can tell your employer that you need an adjustment or change because of a medical condition. ... Put it in writing. ... Talk to the right people. ... How it works: an example. ... Finding help.

In general, you should request an accommodation when you know that there is a workplace barrier that is preventing you, due to a disability, from competing for a job, performing a job, or gaining equal access to a benefit of employment like an employee lunch room or employee parking.

Examples of Reasonable Accommodations Acquiring or modifying equipment or devices such as adjusting a desk height to accommodate an employee who uses a wheelchair or providing an employee with quadriplegia a mouth stick device to type on their computer.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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