Form Reasonable Accommodation With Disabilities

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

Description

The Reasonable Accommodation Request Form is designed to help {Insert Name of Company} assess the need for accommodations for employees with disabilities to ensure they can perform their job duties effectively and safely. This form must be kept separate from the employee's personnel file and treated confidentially to protect sensitive information. In Section I, employees provide personal details and outline their limitations, job duties affected, and suggested accommodations. Section II is for the employer to verify the completion of the request and conduct an Essential Job Function Analysis, sending appropriate documents to Human Resources. The Human Resources section (Section III) ensures compliance with legal requirements and facilitates communication with health care professionals regarding the employee's condition. This form is invaluable for attorneys, partners, owners, associates, paralegals, and legal assistants by providing a structured approach to addressing potential workplace accommodations, ensuring adherence to the Americans with Disabilities Act, and facilitating proactive management of disability-related employee needs.
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How to fill out Reasonable Accommodation Request Form?

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FAQ

?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.

Steps Recognize the need for accommodation. Remove discriminatory barriers, examples to recognize the need for accommodation. Gather relevant information and assess needs. Talk about barriers, gather information, discuss options. Make an informed decision. ... Implement the decision. ... Keep records and follow up.

Examples of reasonable accommodations include providing interpreters, readers, or other personal assistance; modifying job duties; restructuring work sites; providing flexible work schedules or work sites (i.e. telework) and providing accessible technology or other workplace adaptive equipment.

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.

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.

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Form Reasonable Accommodation With Disabilities