Reasonable Accommodation Request Form
Overview of this form
The Reasonable Accommodation Request Form is a legal document designed to help organizations assess the specific accommodations needed by employees with disabilities. This form plays a crucial role in ensuring that employees can perform essential job functions effectively and safely, distinguishing it from other workplace forms that may not address disability-specific needs.
Main sections of this form
- Section I: Employee details, including a request for acknowledgment of the form's signing.
- Essential Job Function Analysis for assessing job requirements.
- Documentation requirements for Human Resources, involving health care professionals.
- Confidential handling instructions for the information provided in the form.
Common use cases
This form should be used when an employee requests accommodations related to a disability. It is applicable in various situations, such as when an employee requires modified work schedules, adjustments in equipment, or specialized work environments to perform their job duties. Utilizing this form aids in ensuring compliance with employment laws related to disabilities.
Who this form is for
- Employees with disabilities seeking reasonable accommodations in the workplace.
- Human Resources personnel responsible for processing accommodation requests.
- Managers and supervisors who need to understand the necessary adjustments for employees under their supervision.
How to prepare this document
- Fill out Section I with the employee's personal and job-related details.
- Confirm the employee has signed the form and if an Essential Job Function Analysis has been completed.
- Submit the signed form along with the Essential Job Function Analysis to Human Resources.
- Human Resources should follow up with the health care professional for any necessary documentation.
- Ensure confidentiality by storing this form separately from the employee's personnel file.
Is notarization required?
This form does not typically require notarization to be legally valid. However, some jurisdictions or document types may still require it. US Legal Forms provides secure online notarization powered by Notarize, available 24/7 for added convenience.
Common mistakes
- Failing to complete all sections of the form, especially the Essential Job Function Analysis.
- Not signing the form before submission to Human Resources.
- Submitting the form without proper documentation from health care professionals when required.
Benefits of completing this form online
- Convenient access to the form at any time, allowing for quicker requests.
- Easy to edit and customize to meet specific needs before downloading.
- Reliable templates crafted by licensed attorneys ensure legal compliance.
Form popularity
FAQ
Dear So-and-So, I am writing to request a reasonable accommodation as a person with disabilities. I am requesting this accommodation so that I will have equal opportunity to participate in your housing.
Your name and position. The date. Information about your disability. A request for accommodation. Accommodation ideas. Medical information.
____________________________________________________________________ Provide the name, address, telephone and fax numbers of your health care provider. The provider may receive a request from us for information regarding your impairment/disability and recommendations for accommodations.
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. Request your employer's accommodation ideas.
A reasonable accommodation is any change to the application or hiring process, to the job, to the way the job is done, or the work environment that allows a person with a disability who is qualified for the job to perform the essential functions of that job and enjoy equal employment opportunities.
Providing an assistant as needed may be a reasonable accommodation for a person with a disability, if this does not impose an undue hardship. Examples include: An assistant may be needed to retrieve items on shelves, file, or selectively assist a person with quadriplegia with other clerical duties.
Your name and position. The date. Information about your disability. A request for accommodation. Accommodation ideas. Medical information.
Step One: Determine whether an individual has a disability and meets minimum qualification standards. Step Two: Determine the essential functions of the job. Step Three: Identify the abilities and limitations of the individual. Step Four: Identify potential accommodations.
Identify 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.