Ada Form For Accommodation

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
  • Preview Reasonable Accommodation Request Form
  • Preview Reasonable Accommodation Request Form
  • Preview Reasonable Accommodation Request Form

How to fill out Reasonable Accommodation Request Form?

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FAQ

Employment: Requesting an Accommodation ? The Three Step Process Describe the specific work limitation. Explain that the work limitation results from a health condition protected under the ADA. Request an accommodation that will lessen the limitation. Propose ideas for potential 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.

Dear Mr./Ms. (Contact at Human Resources Department): 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.

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.

Examples of Reasonable Accommodations Acquiring or modifying equipment or devices such as adjusting a desk height to accommodate an employee who uses a wheelchair or providing an employee with quadriplegia a mouth stick device to type on their computer.

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Ada Form For Accommodation