Get Nc New Hanover County Schools Ada Accommodation Request Form 2015-2025

The NC New Hanover County Schools ADA Accommodation Request Form allows users to formally request accommodations under the Americans with Disabilities Act. This guide provides clear instructions on how to complete the form accurately and efficiently online.

Follow the steps to fill out the form correctly and submit your request.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Complete the employee information section by providing your name, work site, address, position, supervisor’s name, and contact details such as home phone, cell phone, and email.
3. In the section regarding the situation or condition, clearly describe the nature of your impairment or the reason for your accommodation request.
4. Detail the specific job responsibilities or employment conditions that would be affected by the accommodation you are requesting.
5. Outline your proposed accommodation request(s), being as specific as possible about what you need.
6. Indicate the anticipated duration for the accommodation(s) being requested.
7. Sign and date the form in the designated areas at the end of Part 1.
8. Part 2 requires completion by a licensed healthcare provider. Provide them with the form to fill out the medical certification section.
9. Ensure your healthcare provider includes details about the physical or mental impairment, including whether it is temporary or permanent.
10. Confirm that your healthcare provider has marked the relevant physical abilities and cognitive abilities sections appropriately.
11. Once both parts of the form are completed, save your changes. You can then choose to download, print, or share the form as needed to submit.

Complete your ADA Accommodation Request Form online today for timely assistance.