Louisiana Request for ADA Accomodations

State:
Louisiana
Control #:
LA-SKU-0022
Format:
PDF
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Description

Request for ADA Accomodations

The Louisiana Request for ADA Accommodations is a form designed to assist individuals with disabilities in requesting reasonable accommodations from public and private entities in Louisiana. The form includes a standardized set of questions and allows individuals to explain the type of accommodation needed and the reason why it is needed. It also provides individuals with the opportunity to submit supporting documentation. The form is easy to use and is available in both English and Spanish. There are two types of Louisiana Request for ADA Accommodations: A Request for Accessible Facilities and a Request for Auxiliary Aids and Services. The Request for Accessible Facilities is used to request that a public or private entity make its facilities accessible to individuals with disabilities. Examples of accessible facilities include ramps, accessible restrooms, and accessible parking. The Request for Auxiliary Aids and Services is used to request auxiliary aids and services, such as sign language interpreters, assistive listening devices, or Braille materials.

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FAQ

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.

Dear Insert employer's name here: I have been having medical issues that have affected my mood, sleep schedule, concentration, and focus. I would like to request accommodations so that I might be able to perform my job effectively before my performance starts to suffer.

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.

Because of my disability, I need the following accommodations: LIST ACCOMMODATIONS. A medical provider has prescribed this accommodation for my disability. I would like to meet with you to discuss these and any other accommodations that will enable me to have an equal opportunity to live in and enjoy this residence.

The employee's request for a reasonable accommodation would impose an undue hardship on the operations of the agency and there is no alternative reasonable accommodation. The employee's requested accommodation would pose a direct threat to health or safety.

Dear Employee name: On date, you informed name and title of your medical condition and requested a job accommodation to be able to perform your job functions. Company Name complies with the Americans with Disabilities Act (ADA), and we want to support you in continuing to perform your job duties.

?We value inclusion and access for all participants and are pleased to provide reasonable accommodations for this event. Please contact insert contact name and email/phone number to make a reasonable accommodation request. Requests must be submitted by insert date.? ?This event is wheelchair accessible.

Title I: Prohibits discrimination against qualified individuals with disabilities in all employment practices, including recruitment, hiring, advancement, compensation, fringe benefits, job training and other terms, conditions and privileges of employment.

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Louisiana Request for ADA Accomodations