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Get the free Reasonable Accommodation Request Form - Purdue University - purdue

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CONFIDENTIAL All information shared with the University through the ADA/ADANA evaluation and/or reasonable accommodation process will be maintained separate from personnel files and in accordance
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How to fill out reasonable accommodation request form

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How to fill out reasonable accommodation request form?

01
Start by providing your personal information, such as your name, contact information, and employee or applicant identification number.
02
Clearly state the type of accommodation you are requesting and explain the reasons why you require it. Be specific and provide any relevant details or documentation to support your request.
03
Outline any alternative solutions that you believe could address your needs without the need for accommodation, if applicable.
04
Indicate the timeframe for which you require the accommodation and whether it is temporary or permanent.
05
Sign and date the form to authenticate your request.
06
Submit the completed form to the appropriate person, such as your supervisor, human resources department, or designated accommodation coordinator.

Who needs reasonable accommodation request form?

01
Individuals who have a disability or medical condition that impacts their ability to perform essential job functions.
02
Current employees who require accommodations to fulfill their job responsibilities.
03
Job applicants who need accommodations during the interview or hiring process.
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The reasonable accommodation request form is a document used to request accommodations or modifications in policies, practices, or procedures to ensure equal access and opportunities for individuals with disabilities.
Any individual with a disability who requires accommodations or modifications in policies, practices, or procedures to ensure equal access and opportunities may file a reasonable accommodation request form.
To fill out the reasonable accommodation request form, you need to provide your personal information, describe your disability, identify the accommodations or modifications needed, and provide any supporting documentation.
The purpose of the reasonable accommodation request form is to facilitate the process of requesting and documenting accommodations or modifications required by individuals with disabilities to ensure equal access and opportunities.
The reasonable accommodation request form typically requires information such as personal details, disability description, requested accommodations, supporting documentation, and any additional details necessary to evaluate the request.
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