Minnesota Reasonable Accommodation Request Form

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

This form may be used to assist a company in determining to what extent a reasonable accommodation is required.
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  • Preview Reasonable Accommodation Request Form
  • Preview Reasonable Accommodation Request Form
  • Preview Reasonable Accommodation Request Form

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FAQ

When writing a letter requesting accommodation, start with a formal greeting. In the body, specify your disability and describe the needed accommodation, explaining how it impacts your work. Finally, reference the Minnesota Reasonable Accommodation Request Form to support your request with official documentation.

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.

Steps for Requesting AccommodationsComplete a Getting Started Form. This basic form consists of contact information and five brief questions.Provide DSS with current disability related documentation.Meet with DSS for an intake appointment.Request Your Accommodations Each Term.

How to Handle an Employee's Request for an ADA AccommodationStep 1: Determine Whether the Employer Is Covered by the ADA.Step 2: Ensure a Policy and Procedure Exist for Handling Accommodation Requests.Step 3: Determine Whether the Employee with a Disability Is "Qualified"Step 4: Initiate the Interactive Process.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."

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.

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...

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...

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

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Minnesota Reasonable Accommodation Request Form