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A sample form for an employee to request an accommodation due to disability. DOL will process requests and, where appropriate, provide accommodations in as short a period as reasonably possible unless there are extenuating circumstances.A completed Special Accommodation Request Packet includes the. Candidate ADA Request Form, the Professional Accommodation Verification Form and any additional. This form must be filed separately from the employee's personnel file and be treated confidentially. Please return this completed form to Disability Services. This form and any supporting materials or information is confidential and should be kept separate from an employee's personnel file. A completed Accommodation Request Packet includes the Candidate. Accommodation Request Form, the Professional Evaluation Form and any additional verification. Accommodation Request Form, the Professional Evaluation Form, and any additional information or.