Indiana 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

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

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.

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.

(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...

If your Employer will not adjust your job requirements or refuses to provide work within your restrictions, contact an attorney. There are options available to you such as vocational rehabilitation services, job retraining, and wage-loss benefits that an experienced work injury lawyer can help you with.

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...

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."

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.

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Indiana Request for Accommodation under the ADA