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This document is a form for requesting reasonable accommodations for applicants and current employees, detailing the necessary sections for completion by both the requester and supervisory staff.

How to fill out request for reasonable accommodation

How to fill out REQUEST FOR REASONABLE ACCOMMODATION APPLICATION

1. Obtain the REQUEST FOR REASONABLE ACCOMMODATION APPLICATION form from your employer's HR department or website.
2. Read the instructions carefully to understand the process and requirements.
3. Fill out your personal information, including your name, contact information, and job title.
4. Clearly state the nature of your disability and how it affects your job performance.
5. Describe the specific accommodations you are requesting and how they will help you perform your job duties.
6. Include any supporting documentation, such as medical records or letters from healthcare providers, if required.
7. Review the application for completeness and accuracy.
8. Submit the application to your employer's HR department, keeping a copy for your records.

Who needs REQUEST FOR REASONABLE ACCOMMODATION APPLICATION?

1. Individuals with disabilities who require adjustments or modifications in the workplace to perform their job effectively.
2. Employees who are experiencing barriers due to their disabilities and need assistance from their employer.

People Also Ask about

How do I ask for an accommodation request sample?

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.

How do you politely ask for accommodation?

I have been having medical issues that have affected my mood, sleep schedule, concentration, and focus. I would like to request accommodations so that I might be able to perform my job effectively before my performance starts to suffer.

How do I write a letter of request for accommodation?

In your reasonable accommodation letter, you should provide all the information your employer will need to begin the accommodation process, including what your disability is, how it affects you, which aspects of your job might require modification, and proposed accommodations.

What is an example of a reasonable accommodation request?

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.

How do I write a letter asking for accommodation?

Dear [Insert employer's name here]: I am writing this letter to submit a request for accommodations in the workplace. I have pain in my lower back. Sitting or standing for long periods of time in the same position is causing increased pain and is decreasing my mobility.

How do you write a good reasonable accommodation request?

Write down precisely what job-related limitations your condition imposes and note how they can be overcome by accommodations. Identify potential accommodations and assess how effective each would be in allowing you to perform the job. Document all aspects of the accommodation--including cost and availability.

What is an example of asking for accommodation?

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.

What is an example of a reasonable accommodation statement?

Abbreviated Reasonable Accommodation Statement To be used when space is limited: Anyone with a disability who would like to request accommodations or who has questions about physical access may contact [insert email and telephone number of the program/event sponsor] in advance of the program or visit.

For pdfFiller’s FAQs

What is REQUEST FOR REASONABLE ACCOMMODATION APPLICATION?

The REQUEST FOR REASONABLE ACCOMMODATION APPLICATION is a formal document used by individuals to request modifications or adjustments to a job or work environment to enable them to perform their duties effectively, particularly for those with disabilities.

Who is required to file REQUEST FOR REASONABLE ACCOMMODATION APPLICATION?

Individuals who have a disability as defined by the Americans with Disabilities Act (ADA) and require specific accommodations to perform their job responsibilities are required to file this application.

How to fill out REQUEST FOR REASONABLE ACCOMMODATION APPLICATION?

To fill out the application, individuals should provide personal information, describe the nature of their disability, specify the accommodations requested, and explain how these accommodations will assist them in performing their job duties.

What is the purpose of REQUEST FOR REASONABLE ACCOMMODATION APPLICATION?

The purpose of the application is to formally communicate a need for adjustments in the workplace, ensuring that individuals with disabilities can experience equal access and opportunity in their employment settings.

What information must be reported on REQUEST FOR REASONABLE ACCOMMODATION APPLICATION?

Essential information to be reported includes the applicant's name, contact information, details about their disability, the specific accommodation requested, any supporting documentation, and a description of how the accommodation will assist them in their role.