Get Request For Accommodation - Indiana State University

This guide provides clear, step-by-step instructions on how to effectively complete the REQUEST FOR ACCOMMODATION form at Indiana State University. By following these instructions, users can ensure their accommodations are documented accurately and efficiently.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in your general information. Start with your name, including last name, first name, and middle initial in the respective fields. Then, provide your university identification number and job title. Make sure to include your work and home telephone numbers, along with the name of your supervisor and their contact information.
3. In the disability and accommodation information section, describe the nature of your disability comprehensively. Ensure that you provide sufficient detail to assist in understanding the impact on your ability to perform essential job functions.
4. Next, specify your functional limitations related to your disability. Clearly describe how these limitations affect your work and what barriers you face in fulfilling your job responsibilities.
5. Outline the requested accommodation(s). Include any specific equipment, aids, or services that you believe would assist in overcoming your functional limitations. Be as detailed as possible to facilitate the evaluation of your request.
6. Provide current physician’s information on the form to document your disabling condition and verify the need for the accommodations requested. This statement is a critical component of your application.
7. After completing all sections, review your information for accuracy and completeness. Ensure you have signed and dated the form.
8. Submit the completed form to the Office of Affirmative Action at Parsons Hall, Suite 223. You should also forward a copy to your supervisor for their records.
9. Once submitted, expect a determination regarding your request within thirty working days of receipt of the physician’s statement. If necessary, understand your right to appeal by contacting the Office of Affirmative Action.
10. Finally, save changes, download, print, or share the form as needed to keep a personal copy for your records.

Take control of your work environment by completing the REQUEST FOR ACCOMMODATION form online today.