Reasonable Accommodation Request Form
Overview of this form
The Reasonable Accommodation Request Form is used by employers to assess the need for accommodations for employees with disabilities. This form helps determine the extent to which an accommodation is necessary for an employee to safely and effectively perform essential job functions. It is distinct from other forms used to manage employee documentation, ensuring a structured process for addressing disability accommodations.
What’s included in this form
- Section I: Completed by the employee requesting the accommodation.
- Essential Job Function Analysis confirmation, ensuring job functions are clearly understood.
- Instructions for submitting the completed form to Human Resources confidentially.
- Section III: To be filled out by Human Resources, detailing interactions with health care professionals.
- Documentation requests for health care professionals, including necessary forms and job descriptions.
Common use cases
This form should be utilized when an employee requests adjustments to their work environment due to a disability. Scenarios for use include an employee needing modified equipment, specific scheduling, or additional resources that enable them to fulfill their job responsibilities effectively. It is essential for ensuring compliance with the Americans with Disabilities Act and promoting an inclusive workplace.
Who needs this form
- Employees with disabilities seeking workplace accommodations.
- Human Resources professionals responsible for handling accommodation requests.
- Employers looking to comply with legal obligations under disability rights laws.
Completing this form step by step
- Section I: The employee fills out and signs the Reasonable Accommodation Request Form.
- Complete the Essential Job Function Analysis if it has not been done yet.
- Gather and send a copy of the signed form and job description to Human Resources.
- Human Resources will prepare documentation for health care professionals, if necessary.
- Receive input from health care professionals and document their recommendations regarding accommodations.
Notarization guidance
In most cases, this form does not require notarization. However, some jurisdictions or signing circumstances might. US Legal Forms offers online notarization powered by Notarize, accessible 24/7 for a quick, remote process.
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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.
Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.
Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.
If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.
We protect your documents and personal data by following strict security and privacy standards.
Common mistakes
- Not signing the Reasonable Accommodation Request Form before submission.
- Failing to complete the Essential Job Function Analysis before submitting the request.
- Mixing the accommodation request with the employee's personnel file; these should be kept separate.
- Not consulting Human Resources for questions or assistance in completing the forms.
Benefits of completing this form online
- Convenience of completing the form at any time from anywhere.
- Editable templates that allow for easy updates and corrections.
- Reliable access to attorney-drafted forms, ensuring legal compliance.
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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.