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This form is designed for individuals with disabilities to request reasonable accommodations needed to take civil service employment tests, ensuring confidentiality and compliance with federal and
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How to fill out APPLICATION FOR PERSON WITH DISABILITIES TO REQUEST REASONABLE ACCOMMODATION IN THE EXAMINATION PROCESS

01
Read the instructions carefully.
02
Provide personal information such as your name, address, and contact details.
03
Indicate the specific examination for which you are requesting accommodations.
04
Clearly describe your disability and how it impacts your ability to take the examination.
05
List the specific accommodations you are requesting.
06
Attach any required documentation to support your request.
07
Review your application for accuracy.
08
Submit the application by the specified deadline.

Who needs APPLICATION FOR PERSON WITH DISABILITIES TO REQUEST REASONABLE ACCOMMODATION IN THE EXAMINATION PROCESS?

01
Individuals with physical, sensory, cognitive, or psychological disabilities who require adjustments in the examination process to ensure fair access.
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Examples of reasonable accommodations include providing interpreters, readers, or other personal assistance; modifying job duties; restructuring work sites; providing flexible work schedules or work sites (i.e. telework) and providing accessible technology or other workplace adaptive equipment.
Example A: An employee tells her supervisor, "I'm having trouble getting to work at my scheduled starting time because of medical treatments I'm undergoing." This is a request for a reasonable accommodation.
I am writing to request accommodations in the workplace. I have worked at _ [insert company name] as a __ [insert your job position] since __ [approximate date you were hired]. I am experiencing some difficulties in effectively performing my job because of my disability.
Content to consider in body of letter: 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.
How To Apply For Accommodations. Individuals applying for accommodations must do so through their state's board of nursing/regulatory body (BON/RB) to determine what the requirements for accommodations are. Accommodations are typically handled on a case-by-case basis.
8 Tips for Writing a Disability Appeal Letter Be specific. In your letter, focus on specifics rather than generalities. Personalize your story. Stay positive and respectful. Highlight key medical opinions. Keep it organized and concise. Include witness statements. Refer to the SSA Blue Book. Address any work attempts.
The duty to engage in the interactive accommodation process under title I of the Americans with Disabilities Act (ADA) is triggered when a request for reasonable accommodation is received, or when an employer has a reasonable belief that an employee may need accommodation due to a known disability that is affecting job

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It is a formal request form that individuals with disabilities can use to seek necessary modifications or adjustments during the examination process to ensure equal access and opportunity.
Any individual with a documented disability who requires accommodations to take an examination is required to file this application.
The application should be filled out by providing personal information, detailing the nature of the disability, specifying the requested accommodations, and providing any necessary supporting documentation.
The purpose is to ensure that individuals with disabilities can participate in examinations on an equal basis with others, allowing for necessary modifications to be made.
The application must report the individual's name, contact information, details of the disability, the specific accommodations requested, and any supporting medical or psychological documentation.
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