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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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How to fill out the GSA 3677 online

The GSA 3677 form is designed to facilitate the review of reasonable accommodation requests. This guide provides detailed steps to help you navigate the form effectively, ensuring you complete it accurately and thoroughly.

Follow the steps to complete the GSA 3677 online.

  1. Click 'Get Form' button to obtain the form and open it in the editor.
  2. In the 'Name of Requestor' field, enter the full name of the individual requesting accommodation.
  3. Specify the 'Type(s) of Accommodation Requested' by clearly stating the accommodations being requested.
  4. In the 'Date of Request' section, input the date on which the accommodation request was made.
  5. For the 'Decision' section, check either 'Approved' or 'Denied' as applicable, and provide the relevant date next to your choice.
  6. In the section for 'Specify the type(s) of accommodations approved or denied', detail the accommodations that have been either accepted or rejected.
  7. If 'Denied' was checked, select a reason for the denial and describe any alternative accommodation offered to the requestor.
  8. For reconsideration instructions, outline the steps for the requestor to follow if they wish to challenge the decision.
  9. Once all sections are completed, sign and date the form in the 'Signature of Decision Maker' area.
  10. Fill in the 'Name of Decision Maker', and ensure the correct date is recorded on the form before submission.
  11. After completing the document, you can save changes, download, print, or share the form as needed.

Complete your GSA 3677 form online today for a streamlined accommodation process.

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