Accommodation Form Reasonable With Esa

State:
Multi-State
Control #:
US-216EM
Format:
Word; 
Rich Text
Instant download

Description

This form may be used to assist a company in determining to what extent a reasonable accommodation is required.
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  • Preview Reasonable Accommodation Request Form
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FAQ

[Patient name] has certain limitations which affect his/her activities of daily living. To assist in alleviating these difficulties, and to enhance his/her ability to live independently, I am prescribing a service dog [or Emotional Support Animal] that will assist in coping with his/her disability.

Content to consider in body of letter: Identify yourself as a person with a disability. State that you are requesting accommodations under the ADA (or the Rehabilitation Act of 1973 if you are a federal employee) Identify your specific problematic job tasks. Identify your accommodation ideas. How to Request an Accommodation: Accommodation Form Letter askjan.org ? media ? accommrequestltr askjan.org ? media ? accommrequestltr

In order to help alleviate these difficulties, and to enhance his/her ability to live independently and to fully use and enjoy the dwelling unit you own and/or administer, I am prescribing an emotional support animal that will assist [FIRST NAME] in coping with his/her disability. Sample letter for Companion Animal - HUD hud.gov ? sites ? documents ? DOC_7399 hud.gov ? sites ? documents ? DOC_7399

A request for reasonable accommodation can be denied if the individual requesting the accommodation is not ?qualified individual with a disability? or if providing the requested accommodation would cause an undue hardship to the Agency or a Direct Threat. Requesting a Reasonable Accommodation- Frequently Asked ... doc.gov ? disability ? Documents ? FAQs doc.gov ? disability ? Documents ? FAQs

I am a person with a disability as defined under the Fair Housing Act. My disability limits me from interacting with other people. In order to ensure I have equal access to my home, I am requesting a reasonable accommodation to have my emotional support animal live with me. Sample Letters - Assistance Animals - DRNC Disability Rights North Carolina ? resources ? sample-lette... Disability Rights North Carolina ? resources ? sample-lette...

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Accommodation Form Reasonable With Esa