Get the free Accommodation Request Form

This form is used by applicants to request special arrangements or accommodations for state-approved examinations administered by the Oregon Health Licensing Agency due to disabilities.

How to fill out accommodation request form

How to fill out Accommodation Request Form

1. Obtain the Accommodation Request Form from the relevant office or website.
2. Fill in your personal details including name, contact information, and ID number.
3. Specify the type of accommodation you are requesting (e.g., housing for disability, medical needs).
4. Provide detailed explanations for your accommodation request.
5. Attach supporting documents, such as medical certificates or relevant evidence.
6. Review the form for accuracy and completeness.
7. Submit the completed form to the designated office or via the specified submission method.

Who needs Accommodation Request Form?

1. Students with disabilities requiring special housing arrangements.
2. Employees requesting adjustments due to medical conditions.
3. Individuals seeking specific accommodations for educational or workplace settings.
4. Visitors needing assistance for accessibility.

People Also Ask about

What is an example of a reasonable accommodation request?

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.

What is not considered a reasonable accommodation?

Accommodation Examples Example 2: One classic example of accommodation involves a child who understands that a four-legged creature is called a dog. Then, the child encounters a cat and refers to it as a dog until corrected by a parent. After being corrected, the child can distinguish between a dog and a cat.

How do I write a request for accommodations?

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.

What is an example of a reasonable accommodation request letter?

It causes "undue hardship": It's too expensive or too big of a change for the employer's company. (i.e., ergonomic chairs that are too expensive for a small shop) It removes essential job functions: The requested accommodation essentially removes the tasks listed in the job description.

How do you write a letter requesting for accommodation?

Respected Sir/Madam, I wrote this letter to you to request for accommodation for the month (Explain your requirement). I am (Job designation, e.g., security office ay night shift), having no relatives whatsoever in (Area name), and staying in the hostel far away. (Describe in your own words).

What are some examples of reasonable accommodations?

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.

For pdfFiller’s FAQs

What is Accommodation Request Form?

The Accommodation Request Form is a document that individuals use to formally request modifications or adjustments to their work or educational environment due to a disability or special need.

Who is required to file Accommodation Request Form?

Individuals who require accommodations to perform their job functions or participate in educational programs due to a disability or other special needs are required to file the Accommodation Request Form.

How to fill out Accommodation Request Form?

To fill out the Accommodation Request Form, provide accurate personal information, specify the nature of the disability or need, describe the requested accommodations, and submit any supporting documentation as required by the organization.

What is the purpose of Accommodation Request Form?

The purpose of the Accommodation Request Form is to facilitate the process of requesting necessary adjustments that enable individuals with disabilities to effectively perform their job duties or participate in educational activities.

What information must be reported on Accommodation Request Form?

The information that must be reported on the Accommodation Request Form typically includes the individual's contact information, the nature of the disability or need, specific accommodations requested, and any relevant medical or supporting documentation.