California Request for Accommodation under the ADA

State:
Multi-State
Control #:
US-293EM
Format:
Word; 
Rich Text
Instant download

Description

This form is used by an employee to request an accommodation under the ADA.

How to fill out Request For Accommodation Under The ADA?

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FAQ

If your employer cannot give you work that meets the work restrictions, the claims administrator must pay temporary total disability benefits (see Chapter 5). If you have questions or need help, use the resources in Chapter 10. Don't delay, because there are deadlines for taking action to protect your rights.

I request you to kindly give me accommodation. It is very hard for me to stay in hotels or hostels. (Cordially describe your requirements). I shall be really thankful to you if you provide me accommodation considering my issue.

Some of the less obvious limitations include:Difficulty feeling sizes, shapes, temperatures, and textures of objects.Hearing.Reaching out and handling objects.Vision problems.

Unreasonable accommodations alter requirements that are essential to the program of instruction or to meet licensing prerequisites, cause fundamental alteration in the nature of the program, impose undue financial or administrative burden, or pose an appreciable threat to personal or public safety.

For example, a request for reasonable accommodation is a right under Title I and therefore a protected activity. A protected activity can also include opposing a practice the individual thinks is unlawful discrimination under Title I.

Examples of reasonable accommodations include making existing facilities accessible; job restructuring; part-time or modified work schedules; acquiring or modifying equipment; changing tests, training materials, or policies; providing qualified readers or interpreters; and reassignment to a vacant position.

According to the EEOC, you only have to let your employer know that you need an adjustment or change at work for a reason related to a medical condition. You can use "plain English" to make your request and you do not have to mention the ADA or use the phrase "reasonable accommodation."

(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.

Sample Accommodation Request LetterIdentify 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.More items...

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California Request for Accommodation under the ADA