Get Form 13661

Filling out Form 13661 online is a straightforward process designed to assist individuals in requesting reasonable accommodations related to their medical conditions. This guide provides detailed instructions to ensure you can complete the form accurately and efficiently, regardless of your familiarity with similar processes.

Follow the steps to fill out Form 13661 online successfully.

1. Press the ‘Get Form’ button to access the form and open it in your preferred online editor.
2. Begin with Part I, which is the Written Reasonable Accommodation Request. Fill out your personal information, including your last name, first name, contact information, and details of your medical condition requiring accommodation.
3. In Part I, detail the job functions that are affected by your medical condition. Clearly describe how these limitations impact your ability to perform your work duties.
4. Specify the accommodations you are requesting that would assist you in effectively performing your job functions.
5. Provide any additional comments that may be relevant to your request.
6. Affirm that all statements made in your request are true by signing and dating the form.
7. Once you have filled out Part I, return the form via fax or to the assigned Reasonable Accommodation Coordinator.
8. If you are required to complete the subsequent parts of the form, such as Part II for the Deciding Official, follow the specific instructions outlined for that section.
9. For medical documentation, Parts III-A and III-B must be filled out by your healthcare practitioner or counselor. Ensure they provide necessary medical information and complete the respective sections.
10. Finally, if applicable, complete Part IV, which details the denial of a reasonable accommodation request by the Deciding Official, ensuring all necessary explanations are clear and concise.
11. After finishing all sections, you can save changes to the document, download it, print it, or share it as needed.

Take the next step towards receiving the accommodations you need by completing Form 13661 online today.