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Get Workplace Modification Request Form - Alaska Department Of ... - Doa Alaska
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How to fill out the Workplace Modification Request Form - Alaska Department Of ... - Doa Alaska online
The Workplace Modification Request Form is designed for individuals seeking adjustments in their work environment that do not qualify as an ADA event. This guide provides clear and supportive instructions to assist users in completing the form online effectively.
Follow the steps to complete your Workplace Modification Request Form.
- Press the ‘Get Form’ button to access the form and open it in your browser.
- Begin by filling out your employee information, including your name, job title, department, division, region/section, location, telephone number, email, and your supervisor's name.
- In the section requesting an explanation for your modification request, clearly outline the reasons for your need for a work modification.
- If your request stems from a work-related illness or injury, indicate whether you have applied for Worker’s Compensation.
- Describe the specific modification you are requesting. Include details such as the approximate cost and the names of potential vendors if applicable.
- Explain how the requested modification will help you perform specific job tasks more effectively.
- Discuss the potential consequences you may face if your request is denied.
- Print your name, provide your work telephone, sign the form, and date it.
- Your supervisor will review the form. They will discuss job functions and recommended modifications with you. Ensure that their notes are filled out correctly.
- The approving authority will then indicate whether your request is approved or disapproved. Check that their comments are clear and you receive a copy for your records.
- Finally, save the form changes. You may download, print, or share the completed form as needed.
Ready to make your request? Complete the Workplace Modification Request Form online today.
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