Minnesota 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 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...

If your employer cannot accommodate your restrictions, and as a result, you can't work at your regular job, you may be entitled to Minnesota workers' compensation wage loss benefits and/or rehabilitation benefits.

(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.

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.

Work restrictions are the limitations that a doctor places upon you because of your work injury. You may not be able to push, pull, or lift objections above a specific weight, for example. Some injured workers have to alternate between sitting and standing every so often.

What are Common Work Restrictions? Restrictions can take place in many forms. There are physical work restrictions, emotional work restrictions and atmospheric limitations. Physical Work Restrictions are those that limit one's ability to perform physical work.

An individual meets the Americans with Disabilities with Act definition act of disability that would qualify them for reasonable accommodations if they have a physical or mental impairment that substantially limits one or more major life activities (sometimes referred to in the regulations as an actual disability)

The Supreme Court of Canada has ruled that an employer has a legal duty to take reasonable steps, in policies or conditions of work, to accommodate an employee's individual needs.

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...

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Minnesota Request for Accommodation under the ADA