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Get the free Reasonable Accommodation Request Form - swarthmore

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This form assists Swarthmore College in determining the need for reasonable accommodations for employees with disabilities to perform their job functions effectively.
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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
Obtain the Reasonable Accommodation Request Form from your HR department or organization's website.
02
Fill in your personal information at the top of the form, including your name, contact information, and job title.
03
Describe the nature of your disability and how it limits your ability to perform your job duties.
04
Specify the type of accommodation you are requesting and how it will assist you in your work.
05
Include any relevant medical documentation that supports your request, if required by your organization.
06
Review your completed form for accuracy and completeness.
07
Submit the form to your HR department or designated individual as instructed.

Who needs Reasonable Accommodation Request Form?

01
Employees with disabilities who require modifications or adjustments in the workplace to perform their job duties effectively.
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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.
(Name of public entity) does not discriminate on the basis of disability in its services, programs, or activities. Employment: (Name of public entity) does not discriminate on the basis of disability in its hiring or employment practices and complies with the ADA title I employment regulations.
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.
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.
ing to the Equal Employment Opportunity Commission (EEOC), the federal agency charged with enforcing the ADA, an accommodation request does not have to be in writing and the ADA does not include specific guidelines or forms for requesting reasonable accommodation.
Sufficient medical documentation should describe the nature, severity, and duration of the impairment, the activity or activities that the impairment limits, the extent to which the impairment limits the employee's ability to perform the activity or activities, and should also substantiate why the requested reasonable
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.].

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The Reasonable Accommodation Request Form is a document used by employees to formally request modifications or adjustments in the workplace or job duties to accommodate a disability or religious belief.
Any employee or applicant who needs an adjustment or modification due to a disability or for religious reasons is required to file a Reasonable Accommodation Request Form.
To fill out the Reasonable Accommodation Request Form, individuals should provide their personal contact information, describe the nature of their disability or religious belief, specify the type of accommodation requested, and include any supporting documentation if necessary.
The purpose of the Reasonable Accommodation Request Form is to facilitate communication between the employee and employer regarding the need for workplace accommodations and to ensure proper documentation of the request for legal and compliance purposes.
The information that must be reported on the Reasonable Accommodation Request Form includes the employee's name, contact information, details of the disability or religious belief, specific accommodation requested, and any relevant medical documentation if applicable.
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