Get GSA 3677 2020-2023
REQUESTOR TYPE(S) OF ACCOMMODATION REQUESTED DATE OF REQUEST DECISION (Check one and provide date) APPROVED DATE: DENIED DATE: Specify the type(s) of accommodations approved or denied: If Denied was checked, choose one of the following reasons: If Requestor rejected an offer of an alternative accommodation, explain the reason for the denial of the original requested accommodation and how the offered alternative accommodation would be effective. INSTRUCTIONS FOR RECONSIDERATION OF DECIS.
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