Illinois Reasonable Accommodation Request Form

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

When writing a letter for accommodation, begin with a formal greeting, then explain your need for support due to your disability. Clearly outline the specific changes you are requesting, and why they are necessary for your job. Using the Illinois Reasonable Accommodation Request Form can provide a structured approach to this letter.

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.

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

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.

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.

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.

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).

A request for reasonable accommodation does not have to be in writing, but can be verbal or another mode of communication. However, a supervisor can ask the employee to follow-up a verbal request in writing.

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

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...

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Illinois Reasonable Accommodation Request Form