Form Accommodation Reasonable With Work

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

Description

The Reasonable Accommodation Request Form is designed to aid employers in assessing the need for accommodations for employees with disabilities, ensuring compliance with the Americans with Disabilities Act. This confidential form includes sections for the employee to detail their limitations, the parts of their job affected, and the accommodations they believe may assist them. Employers, particularly Human Resources and supervising personnel, are responsible for completing their sections, confirming essential job functions, and facilitating communication with health care professionals when necessary. Key features include a clear structure for documentation, permission for medical consultations, and a checklist for internal processing. It serves attorneys, partners, owners, associates, paralegals, and legal assistants by providing a systematic approach to handling accommodation requests, ensuring proper legal compliance, and promoting an inclusive workplace environment. The form emphasizes confidentiality and is separate from personnel files, highlighting its importance in maintaining employee privacy.
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FAQ

RA Statement Example: [Employer] is committed to providing access and reasonable accommodation in its services, activities, programs, and employment opportunities in ance with the Americans with Disabilities Act and other applicable laws.

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.

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.

I am writing to request permission to telework as a reasonable accommodation under the ADA. As you may know, I have a disability (you may list your disability here or wait for your employer to request documentation of your disability) and this accommodation would help me be successful at my job.

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.

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Form Accommodation Reasonable With Work