Get Ct Reasonable Accommodation Request Form 2015-2026

Filling out the Connecticut Reasonable Accommodation Request Form online is a crucial step in ensuring that individuals with disabilities receive the accommodations they need. This guide provides clear and supportive instructions for completing the form effectively.

Follow the steps to fill out the CT Reasonable Accommodation Request Form seamlessly.

1. Press the ‘Get Form’ button to access the form and open it for completion.
2. Determine whether you are filling out Box 1 as a DMHAS employee or Box 2 as an applicant for a DMHAS position. Ensure you complete the correct section relevant to your status.
3. For Box 1, provide your date, name, position title, work location, hours of work, and the name and title of your immediate supervisor and Unit/Division Director.
4. For Box 2, fill out the position you are applying for, your name, the date, and the position number.
5. In Section A, describe your physical or mental impairment in detail. Explain how it limits one or more major life activities. You may attach additional pages if necessary.
6. If you are an employee, complete Section B by explaining how your impairment restricts your ability to perform essential job functions.
7. In Section C, provide a clear description of the accommodation you are requesting.
8. Enter your contact information, indicating your preference for a mailing address (work or home) and provide your phone number.
9. Once all sections are completed, review your responses for accuracy. You can then save your changes, download a copy, print the document, or share it as needed.

Complete your CT Reasonable Accommodation Request Form online today to ensure your needs are met.