Reasonable Accommodation Request Form

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

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
  • Preview Reasonable Accommodation Request Form

Key Concepts & Definitions

Reasonable Accommodation Request Form: A document that individuals with disabilities can use to request adjustments or modifications to their work or living environments in the United States to better accommodate their needs. Such accommodations are protected under laws like the Americans with Disabilities Act (ADA).

Step-by-Step Guide to Completing a Reasonable Accommodation Request Form

  1. Gather Documentation: Collect any medical documentation that outlines your disability and the need for accommodation.
  2. Fill Out the Form: Provide detailed information about your disability and the specific accommodations you are requesting. Be clear and concise.
  3. Submit the Form: Send the completed form to the designated office or individual, such as a human resources manager or disability coordinator.
  4. Follow Up: If you do not hear back within a reasonable timeframe, follow up to ensure your request is being processed.

Risk Analysis of Failing to Use a Reasonable Accommodation Request Form Properly

  • Legal Risks: Potential violations of federal and state laws, leading to legal disputes or fines.
  • Communication Failures: Poor handling or misunderstandings about the nature of the accommodation needed.
  • Delay in Accommodation: Delays can exacerbate the disability or impact job performance negatively.

Key Takeaways

Importance of Precision: Accurately detailing the specific needs and expected accommodations can streamline the process and prevent misunderstandings.
Legal Compliance: Adhering to prescribed formats and procedures can mitigate legal risks and foster an inclusive environment.
Proactive Communication: Regular follow-ups and open communication with the responsible parties ensure a smoother accommodation process.

Best Practices

  • Early Submission: Submit your request as soon as possible to allow ample time for processing.
  • Keep Records: Maintain copies of your request and any correspondence for your records.
  • Consult Legal or HR Advice: If unsure about the process, seek advice from human resources or legal experts.

Common Mistakes & How to Avoid Them

  • Incomplete Forms: Double-check the form to ensure all required fields are completed to avoid delays.
  • Lack of Specificity: Clearly specify what accommodations are needed and why to ensure the request is understood and met appropriately.
  • Poor Documentation: Provide ample medical documentation and other required records to support the request.

How to fill out Reasonable Accommodation Request Form?

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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.

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Reasonable Accommodation Request Form