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How to fill out the Reasonable Accommodation Form online
This guide provides comprehensive instructions for completing the Reasonable Accommodation Form online. By following these steps, users can efficiently submit their accommodation requests to ensure their needs are met.
Follow the steps to successfully complete your Reasonable Accommodation Form online.
- Click ‘Get Form’ button to access the Reasonable Accommodation Form and open it in the designated editor.
- Begin by entering the name of the person who needs the accommodation in the specified field. This ensures that the request is clearly attributed to the correct individual.
- Next, fill in the head of household's name. This section requires the representative completing the form on behalf of the person needing accommodation.
- Provide the full address where you reside, including street number, street name, city, state, and zip code. This is important for any potential follow-up communication.
- Enter both the primary and alternate phone numbers to ensure that communication regarding the request can be easily established.
- In Section A, indicate whether you are the individual with a disability. If not, provide the name and relationship to the person who is. This clarifies the context of the request.
- In Section B, specify the reasonable accommodation you are requesting. You can check one or more boxes provided, and be as specific as possible about any changes to rules, policies, or procedures that will help.
- Use Section C to explain why the requested accommodation is necessary. Providing a clear rationale helps emphasize the need for the adjustments.
- Review Section D, which outlines the confidentiality of the information provided and how it will be used. Ensure you understand these terms before proceeding.
- Finally, both the head of household and the adult member requiring accommodation must sign and date the form where indicated. This confirms that all information is accurate and complete.
- After completing the form, save any changes made in the editor. You can then download, print, or share the completed form as needed before submitting it to the appropriate housing authority.
Take action now by filling out your Reasonable Accommodation Form online to ensure your needs are met.
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.
Fill Reasonable Accommodation Form
JAN offers a number of sample forms. Employers may use these sample forms as a template for customizing forms or documents used during the interactive process. Use of this form is not mandatory in order to request an accommodation but will assist the OIG in completing review of the request. To request an accommodation based on a disability, an EPA employee or applicant can use the Request for Reasonable Accommodation Form (Appendix B). Use this sample form to start the documentation process for when employee requests a reasonable workplace accommodation under the ADA.
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