Accommodation Request Statement With Join

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

This form may be used to assist a company in determining to what extent a reasonable accommodation is required.
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How to fill out Reasonable Accommodation Request Form?

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FAQ

Dear (Instructor's name), I am a student in your (course name and number) course. I have been approved for accommodations through the Office for Disability Equity. I would like to request test accommodations, which include extended time for quizzes and exams.

In your reasonable accommodation letter, you should provide all the information your employer will need to begin the accommodation process, including what your disability is, how it affects you, which aspects of your job might require modification, and proposed accommodations.

?We value inclusion and access for all participants and are pleased to provide reasonable accommodations for this event. Please contact [insert contact name and email/phone number] to make a reasonable accommodation request. Requests must be submitted by [insert date].? ?This event is wheelchair accessible.

I work at ________(Company Name) as a ________(Your Job Title) and have been in this position since ____ (Date). I am writing to request that you provide __________________(list accommodation needed here) as a reasonable accommodation under the ADA.

I am experiencing the following difficulties in performing my job because of my disability: _______________________. I am writing to request that you ______________________ (state requested accommodation) because it will___________________________ (how it will help you do your job) as a reasonable accommodation.

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Accommodation Request Statement With Join