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(ADA-100) RESIDENT REQUEST FOR ACCOMMODATION UNDER THE AMERICANS WITH DISABILITIES ACT (ADA) Individual Requesting Accommodation: Position/Title: Residency Program: Work or Home Address: Work Telephone
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How to fill out ada-100 resident request for
How to fill out ada-100 resident request for:
01
Obtain the ada-100 resident request form from the appropriate authority or download it from the official website.
02
Fill in your personal information accurately, including your full name, contact details, and address.
03
Provide details about the specific request you are making, clearly stating the nature of the issue or assistance you require.
04
Attach any relevant documents or evidence that support your request, such as medical reports, photographs, or supporting statements.
05
Sign and date the ada-100 resident request form.
06
Submit the completed form to the designated authority through the specified channels, such as in-person, by mail, or online.
Who needs ada-100 resident request for:
01
Individuals who require accommodation or assistance due to a physical or cognitive disability.
02
Residents who need modifications or adjustments to their living environment to enhance accessibility or support their disability.
03
People seeking government or organization support for disability-related benefits, services, or resources.
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