Get the free Request for Accommodation - indstate

This form is used to document requests for reasonable accommodations due to disabilities for employees at Indiana State University. It requires information about the disability, functional limitations,

How to fill out request for accommodation

How to fill out Request for Accommodation

1. Obtain the Request for Accommodation form from the relevant authority (e.g., HR department, disability services).
2. Fill in your personal details, including your name, contact information, and any identification number if required.
3. Specify the type of accommodation you are requesting (e.g., dietary adjustments, physical modifications, flexible work hours).
4. Provide a detailed explanation of the reason for your accommodation request, explaining why it is necessary.
5. Include any supporting documentation, such as medical notes or other relevant records, if required.
6. Review the form for completeness and accuracy before submitting.
7. Submit the form to the appropriate department or designated person as instructed.

Who needs Request for Accommodation?

1. Individuals with disabilities seeking reasonable adjustments to work or study environments.
2. Employees or students who require specific accommodations for health-related reasons.
3. Anyone who identifies a need for adjustments to improve accessibility and support their functional capabilities.

People Also Ask about

How do I ask for accommodation?

Dear [Insert employer's name here]: 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 an accommodation request?

Sample Accommodation Request 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?

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 you politely ask for accommodation?

I would like to request accommodations so that I might be able to perform my job effectively before my performance starts to suffer. Workplace distractions interfere with my concentration and focus so I would like to try noise cancelling headphones to minimize sound distractions.

How do you write a letter requesting for accommodation?

TEMPLATE: Accommodation Request Letter for Living Space Dear [Landlord's Name], I have been residing at [Address/Building Name], Unit [Number], since [Date]. I'm writing to request [an accommodation/certain accommodations] for my living space due to my Multiple Chemical Sensitivity (MCS).

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.

How do I tell my boss I need accommodations?

Email your request to ask for disability accommodations. This could be as simple as ``Hi, Boss Name, can we set up a meeting? I need to ask about some accommodations for my disability. How's Tuesday at 2 work for your schedule?''

What is an example of an accommodation request?

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 an accommodation statement?

Sample Statements If you need disability-related accommodations, please call [insert telephone number of the sponsor]. Persons with disabilities who anticipate needing accommodations or who have questions about physical access may call [telephone number of the sponsor] in advance of the program [or film, event, etc.].

What is the best example of an accommodation?

Examples of Accommodations Audio, Brailled or electronic-formatted lecture notes, handouts, and texts. Verbal descriptions of visual aids. Raised-line drawings and tactile models of graphic materials. Braille lab signs and equipment labels, auditory lab warning signals.

For pdfFiller’s FAQs

What is Request for Accommodation?

A Request for Accommodation is a formal document submitted by an individual seeking adjustments or modifications to a program, service, or activity due to a disability or specific need.

Who is required to file Request for Accommodation?

Individuals with disabilities or specific needs who require adjustments to participate fully in programs, services, or activities are typically required to file a Request for Accommodation.

How to fill out Request for Accommodation?

To fill out a Request for Accommodation, one should provide personal information, specify the nature of the disability or need, detail the accommodations being requested, and include any supporting documentation.

What is the purpose of Request for Accommodation?

The purpose of a Request for Accommodation is to ensure that individuals can access and participate in programs, services, or activities on an equal basis with others, by providing necessary adjustments or modifications.

What information must be reported on Request for Accommodation?

Information that must be reported includes the individual's contact details, description of the disability or specific need, details of the requested accommodations, and any relevant medical or supportive documentation.