Connecticut Reasonable Accommodation Request Form

Category:

Employment - Personnel Files

State:

Multi-State

Control #:

US-216EM

Format:

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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FAQ

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.

You may make this request initially to whomever you are most comfortable with. Make your request in writing and use the phrase: I am requesting a reasonable accommodation under the ADA. This helps create a clear record of your request and helps your employer know that your request should be taken seriously.

Reasonable documentation means that the employer may require only the documentation that is needed to establish that a person has an ADA disability, and that the disability necessitates a reasonable accommodation.

Under the Americans with Disabilities Act (ADA), an employer with 15 or more employees is required to provide a covered job applicant or employee with reasonable accommodation, unless doing so would pose an undue hardship (that is, significant difficulty or expense).

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.

What types of accommodations are generally considered reasonable?Change job tasks.Provide reserved parking.Improve accessibility in a work area.Change the presentation of tests and training materials.Provide or adjust a product, equipment, or software.Allow a flexible work schedule.More items...

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.

Examples of accommodations include:sign language interpreters for students who are deaf;computer text-to-speech computer-based systems for students with visual impairments or Dyslexia;extended time for students with fine motor limitations, visual impairments, or learning disabilities;More items...?09-Apr-2021

The most frequently requested accommodations are workspace-related (66% of employees and 76% of supervisors) and non-physical accommodations (50% and 74%, respectively).