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Instructions for Form 13661, Reasonable Accommodation Request This form is intended to assist persons involved in the reasonable accommodation process and to memorialize important information. Completion.

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How to fill out the IRS 13661 online

The IRS 13661 form is designed to facilitate reasonable accommodation requests for employees or applicants. This guide provides clear, step-by-step instructions for completing the form online, ensuring a smooth submission process.

Follow the steps to complete your IRS 13661 form online

  1. Click 'Get Form' button to access the IRS 13661 in an editable format.
  2. Begin filling out Part I, entering your personal information such as name, contact details, and job-related data. Describe the medical condition that requires accommodation and how it affects your job functions.
  3. In Part II-A, provide detailed information for the Deciding Official, including whether the condition is known and how it impacts job duties.
  4. If applicable, in Part II-B, document the management's decision regarding the accommodation request, indicating whether it has been approved or denied.
  5. Complete Parts III-A and III-B with relevant medical documentation from your healthcare provider, ensuring all required details about the medical condition and limitations are clearly specified.
  6. If your request is denied, refer to Part IV to provide reasons for denial and detail your right to appeal the decision.
  7. Save your completed form. You can now download, print, or share it as needed.

Complete your IRS 13661 form online today for a smooth reasonable accommodation request process.

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Form 13661 Rev 10-2020.pdf | IRS Careers
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Use Schedule R (Form 1040) to figure the credit for the elderly or the disabled.

The ADA covers employers with 15 or more employees, including state and local governments. It also applies to employment agencies and to labor organizations. The ADA's nondiscrimination standards also apply to federal sector employees under section 501 of the Rehabilitation Act, as amended, and its implementing rules.

Examples of reasonable accommodations include providing interpreters, readers, or other personal assistance; modifying job duties; restructuring work sites; providing flexible work schedules or work sites (i.e. telework) and providing accessible technology or other workplace adaptive equipment.

Requesting a Reasonable Accommodation To enable the IRS to keep accurate records regarding requests for accommodation, employees should follow up an oral request for accommodation by completing the Reasonable Accommodation Request, Form 13661.

Dear Mr./Ms. (Contact at Human Resources Department): I work at ________(Company Name) as a ________(Your Job Title) and have been in this position since ____ (Date). I am writing to request that you provide __________________(list accommodation needed here) as a reasonable accommodation under the ADA.

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© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232