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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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13661 form FAQ
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.
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.
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.
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.
Use Schedule R (Form 1040) to figure the credit for the elderly or the disabled.
13661 reasonable accommodation request Related content
Form 13661 Rev 10-2020.pdf | IRS Careers
Get in Touch with the IRS. ALERT: Please do not use this form for tax or stimulus check...
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