Get the free Disability Accommodation Request Form - uwsuper

This form is used by employees of the University of Wisconsin-Superior to request reasonable accommodations related to disabilities impacting their job performance.

How to fill out disability accommodation request form

How to fill out Disability Accommodation Request Form

1. Obtain the Disability Accommodation Request Form from the relevant authority or organization's website.
2. Fill out your personal information including your name, contact details, and any identification number required.
3. Specify the nature of your disability and how it affects your ability to perform specific tasks or functions.
4. Indicate the type of accommodation you are requesting, providing details on how it would assist you.
5. Attach any necessary supporting documentation, such as medical letters or reports, that validate your request.
6. Review the completed form to ensure all fields are filled accurately and any additional documents are included.
7. Submit the form to the appropriate department or individual as specified by the organization.

Who needs Disability Accommodation Request Form?

1. Individuals with physical, mental, or learning disabilities seeking adjustments to their work or educational environment.

People Also Ask about

What is an example of asking for accommodation?

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 to say in a reasonable accommodation request?

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.

How to fill out a request for reasonable accommodation form?

In your reasonable accommodation letter, you should provide all the information your employer will need to begin the accommodation process, including what your disability is, how it affects you, which aspects of your job might require modification, and proposed accommodations.

How do I write an accommodation letter for disability?

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 to write in a reasonable accommodation request?

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 you write a letter requesting for accommodation?

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 an example of a reasonable accommodation statement?

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.

For pdfFiller’s FAQs

What is Disability Accommodation Request Form?

The Disability Accommodation Request Form is a document used to formally request accommodations for individuals with disabilities in various settings, such as workplaces or educational institutions.

Who is required to file Disability Accommodation Request Form?

Individuals who have a disability and seek specific accommodations to perform their job duties, or to participate in educational programs are required to file this form.

How to fill out Disability Accommodation Request Form?

To fill out the form, individuals should provide personal information, details about the disability, the specific accommodations requested, and any supporting documentation, such as a medical certificate.

What is the purpose of Disability Accommodation Request Form?

The purpose of the form is to ensure that individuals with disabilities can formally document their needs and request necessary adjustments to facilitate their participation or performance.

What information must be reported on Disability Accommodation Request Form?

The form typically requires information such as the individual's name, contact information, details about the disability, the nature of the accommodations being requested, and any relevant medical documentation.