Minnesota Reasonable Accommodation Request Form

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

This form may be used to assist a company in determining to what extent a reasonable accommodation is required.

Minnesota Reasonable Accommodation Request Form is a document that allows individuals to formally request accommodations for their disabilities or other protected characteristics under the Minnesota Human Rights Act (MARA) and the Americans with Disabilities Act (ADA). This form plays a crucial role in ensuring equal opportunities and access for individuals with disabilities in various settings, including employment, housing, education, and public services. The Minnesota Reasonable Accommodation Request Form is specifically designed to help individuals communicate their accommodation needs to the appropriate entity, such as an employer, landlord, school, or government agency. The form typically requires detailed information about the requester, their disability or medical condition, and the specific accommodation(s) being requested. Keywords: 1. Minnesota Reasonable Accommodation Request Form: This refers to the specific document used in the state of Minnesota to request reasonable accommodations. 2. Reasonable Accommodation: This term highlights the concept of providing necessary modifications or adjustments to policies, practices, or physical environments to enable equal opportunities for individuals with disabilities. 3. Minnesota Human Rights Act (MARA): This legislation prohibits discrimination based on specified protected classes, including disability, and requires reasonable accommodations to be provided. 4. Americans with Disabilities Act (ADA): This federal law also aims to protect individuals with disabilities from discrimination and mandates reasonable accommodations in employment, public services, and other areas. 5. Disabilities: Denotes physical or mental impairments that substantially limit one or more major life activities, potentially entitling individuals to reasonable accommodations. 6. Protected Characteristics: Refers to specific traits, such as disability, race, age, gender, religion, etc., that are protected from discrimination under laws like the MARA and ADA. 7. Employment Accommodation Request Form: This is a variant of the Minnesota Reasonable Accommodation Request Form, specifically tailored for requesting accommodations in the workplace. 8. Housing Accommodation Request Form: This variant is used for requesting reasonable accommodations in housing situations, such as modifications to the physical structure or adjustments to rules or policies. 9. Education Accommodation Request Form: This type of accommodation request form is utilized in educational settings, allowing students to request necessary accommodations to fully participate in academic activities. 10. Public Services Accommodation Request Form: This form addresses accommodations needed for accessing public services, such as transportation, government programs, or services provided by state agencies. In conclusion, the Minnesota Reasonable Accommodation Request Form is a vital document that empowers individuals with disabilities to request necessary modifications or adjustments to ensure equal opportunities and access. Various types of such forms exist, including those specific to employment, housing, education, and public services, reflecting the diverse settings where accommodations may be required.

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FAQ

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

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

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Request a reasonable accommodation access the City of Bloomington's services, programs, or activities, or file a grievance. You need assistance while completing this form. You would like the LAM Office to review this form prior to submitting. Your supervisor has not contacted you ...1B.0.1.1 Policy Reasonable Accommodations in Employmentif requested by the employee, will complete the Request for Reasonable Accommodation form, ... Step 2 - Have your provider complete the Face Covering Documentation Form. Step 3 - Meet (virtually) with OSD to determine reasonable accommodations. The request for services or accommodations must have supporting documentation from a qualified professional that supports the nature of the disability that ... Individuals who may request a reasonable accommodation include .Employee/Applicant Request for ADA Reasonable Accommodation Form . Must complete the ApplicationPublic Employees Retirement Association of Minnesotaemployee along with any reasonable accommodations considered. Maintain records of requests for reasonable accommodations. Oversee the administration of the Agency Diversity Recruitment program. ?. Comply with the state- ... Access Abroad is a collaborative effort at the University of Minnesota between thefill out the Accommodations Request Form to identify the reasonable ... I,. (employee name), acknowledge that on. (date), I received a copy of EMPLOYER NAME's Disability Accommodations Policy and that I read it, understood it, ...

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Minnesota Reasonable Accommodation Request Form