
REQUEST FOR REASONABLE ACCOMMODATION INFORMATION ON REQUESTOR NAMEOCCUPATIONAL SERIES, GRADE LEVELTELEPHONE NUMBEROFFICE (include correspondence symbol)FAX NUMBEREMAIL ADDRESSREQUEST DATENEED (Check.
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How to fill out the GSA 3676 online
The GSA 3676 form is used to request reasonable accommodations in the workplace. This guide provides step-by-step instructions to help you fill out this important document online with confidence.
Follow the steps to successfully complete your GSA 3676 form.
- Click ‘Get Form’ button to obtain the form and open it in your preferred online editor.
- In the 'Information on Requestor' section, fill in your name, occupational series, and grade level. Ensure that all information is accurate.
- Provide your contact details, including telephone number, fax number, email address, and office (including correspondence symbol).
- In the 'Request' section, enter the date of your accommodation request.
- Check one box to indicate your need: application process, performing job functions or accessing work environment, accessing a benefit or privilege, or personal assistance services.
- Specify the type of accommodation requested, such as adaptive equipment, staff assistant, or removal of architectural barriers.
- Provide reasons for the accommodation request, ensuring to explain if the request is time-sensitive.
- Sign the form in the designated area, and make sure to include the current date.
- After reviewing the completed form, you can save changes, download, print, or share it as needed.
Complete your GSA 3676 form online today to ensure your reasonable accommodation request is submitted accurately.
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Form: GSA3676. Confirmation of Reasonable Accommodation. Current Revision Date: 06/2018...
Federal Tax Issues: (800) 829-3676 (forms and publications) or (800) 829-1040 (advice);...
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