Reasonable Accommodation Request Form Department Of Veterans Affairs

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

Description

The Reasonable Accommodation Request Form from the Department of Veterans Affairs is designed to assist employers in evaluating requests for workplace accommodations made by employees with disabilities. The form enables employees to detail their specific limitations and the accommodations they believe would support their job performance. It requires information such as the employee's name, contact details, job title, and a clear description of their challenges and desired accommodations. Confidentiality is emphasized, ensuring the information provided does not affect the employee's personnel file. Each section of the form must be completed accurately by both the employee and the employing department, with a process outlined for Human Resources involvement. This form is instrumental for legal professionals like attorneys, paralegals, and legal assistants in advocating for employee rights, ensuring compliance with the Americans with Disabilities Act, and assisting clients in navigating the accommodation request process effectively.
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FAQ

Dear [Insert employer's name here]: I am writing this letter to submit a request for accommodations in the workplace. I have pain in my lower back. Sitting or standing for long periods of time in the same position is causing increased pain and is decreasing my mobility.

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.

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.

Requests for reasonable accommodation do not need to be in writing. Individuals may request accommodations in conversation or may use any other mode of communication. (22)An employer may choose to write a memorandum or letter confirming the individual's request.

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Reasonable Accommodation Request Form Department Of Veterans Affairs