Formation below and/or any documentation regarding your request for an accommodation are strictly confidential and will not be released, except as provided by Title VII of the Civil Rights Act of 1964, the Americans with Disabilities Act or the Pregnant Workers Fairness Act. I am a qualified employee requesting reasonable accommodation as follows (Select one): I request the following accommodation under the Americans with Disabilities Act, which will enable me to effectively perform the essentia.
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How to fill out the AZ ASPS/HRD - FA1.03 online
The AZ ASPS/HRD - FA1.03 form is an essential document for requesting reasonable accommodations in the workplace. This guide provides clear and detailed instructions to help you successfully complete the form online.
Follow the steps to fill out the AZ ASPS/HRD - FA1.03 form.
- Click ‘Get Form’ button to access the form and open it in the designated editor.
- Begin by filling out your personal information in the 'Name,' 'Title,' 'Position Number,' 'Agency,' 'Division,' 'Work Unit,' 'Work Phone #,' 'Alternate Phone #,' and 'Work Address' fields. Ensure all details are accurate to facilitate processing.
- Complete the 'City,' 'State,' and 'Zip' fields to provide your work location.
- In the section that discusses your accommodation request, select one appropriate option that describes your situation: under the Americans with Disabilities Act, the Pregnant Workers Fairness Act, or for religious/spiritual beliefs.
- In the 'Accommodation Requested' field, clearly state the specific accommodation you are seeking to support your work performance.
- Provide a detailed explanation in the 'Reason for Request' section, outlining why the accommodation is necessary.
- Sign and date the document to confirm your request and authorize agency management to verify it. Be aware that additional information may be required.
- After completing the form, review all entries to ensure accuracy, then save your changes. You may choose to download, print, or share the form as needed.
Complete your AZ ASPS/HRD - FA1.03 form online today!
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