The Louisiana ADA form is a document created by the Louisiana Department of Health and Hospitals (DHH) for individuals to request reasonable accommodations in a public or private workplace based on their disability. This form is intended to be used by individuals who have a physical or mental impairment that substantially limits one or more major life activities and require an accommodation to perform their job functions effectively. The Louisiana ADA form is available in two versions: an online version and a paper version. The online version is available on the DHH website, and the paper version can be obtained from the DHH office or any ADA coordinator. The form requires individuals to provide information about their disability, the requested accommodation, and supporting documentation. The completed form must be submitted to the ADA coordinator or the employer for review and consideration.