Get the free Request for reasonable accommodation - Department of Commerce - osec doc

OMB Approval No. 0690-0022 Expires 08-31-10 FORM CD-575 U.S. DEPARTMENT OF COMMERCE (10-07) REQUEST FOR REASONABLE ACCOMMODATION PART A: EMPLOYEE/APPLICANT REQUEST AND CERTIFICATION This form should

How to fill out request for reasonable accommodation

How to fill out a request for reasonable accommodation:

1. Start by addressing the request to the appropriate person or department. This could be your employer, landlord, or any entity that has the authority to grant or deny accommodation requests.
2. Clearly state your need for a reasonable accommodation. Explain the specific disability or condition that requires the accommodation and how it impacts your ability to perform certain tasks or access certain facilities.
3. Provide supporting documentation if necessary. This can include medical records, letters from healthcare professionals, or any other evidence that validates your need for accommodation.
4. Specify the type of accommodation you are requesting. Be specific about what changes or adjustments you are seeking in order to address your disability-related needs. This could include modifications to your work station, adjustments to your schedule, or any other reasonable changes that would allow you to perform your duties or access facilities.
5. Explain how the requested accommodation will enable you to perform your job or enjoy equal access to the facilities. Emphasize the positive impact the accommodation will have on your ability to fulfill your responsibilities.
6. Request a meeting or discussion to further explain your needs or address any concerns. It can be helpful to have a conversation with the person or department responsible for processing the request, as they may have additional questions or need clarification.
7. Be polite and professional throughout the request. Clearly express your gratitude for considering your request and mention your willingness to provide any additional information or documentation that may be required.

Who needs a request for reasonable accommodation:

1. Individuals with disabilities: People who have disabilities, whether physical, mental, or sensory, may need to request reasonable accommodations to ensure equal access and participation in various activities, including employment, housing, education, and public facilities.
2. Employees: Individuals in the workforce who have disabilities and require accommodations to perform their job duties effectively may need to submit a request for reasonable accommodation to their employers.
3. Tenants: Individuals with disabilities who are renting a dwelling and require modifications or changes to the premises to make it accessible may need to submit a request for reasonable accommodation to their landlords or housing providers.
4. Students: Students with disabilities who require adjustments or modifications to their educational environment or curriculum to ensure equal access and participation may need to request reasonable accommodations from their educational institutions.

For pdfFiller’s FAQs

What is request for reasonable accommodation?

A request for reasonable accommodation is a formal written or verbal request made by an individual with a disability to an employer, housing provider, or public entity, seeking modifications or adjustments that will enable them to enjoy equal access, opportunities, and benefits.

Who is required to file request for reasonable accommodation?

Any individual with a disability who requires modifications or adjustments in order to have equal access or opportunities is entitled to file a request for reasonable accommodation.

How to fill out request for reasonable accommodation?

To fill out a request for reasonable accommodation, individuals must provide their personal information, describe their disability, specify the modifications or adjustments needed, and provide any necessary supporting documentation.

What is the purpose of request for reasonable accommodation?

The purpose of a request for reasonable accommodation is to ensure that individuals with disabilities have equal access to opportunities and benefits by removing barriers or providing necessary adjustments.

What information must be reported on request for reasonable accommodation?

A request for reasonable accommodation must include the individual's personal information, description of the disability, requested modifications or adjustments, and any supporting documentation.

Where do I find request for reasonable accommodation?

The premium pdfFiller subscription gives you access to over 25M fillable templates that you can download, fill out, print, and sign. The library has state-specific request for reasonable accommodation and other forms. Find the template you need and change it using powerful tools.

How do I edit request for reasonable accommodation in Chrome?

Install the pdfFiller Google Chrome Extension to edit request for reasonable accommodation and other documents straight from Google search results. When reading documents in Chrome, you may edit them. Create fillable PDFs and update existing PDFs using pdfFiller.

Can I create an electronic signature for the request for reasonable accommodation in Chrome?

Yes, you can. With pdfFiller, you not only get a feature-rich PDF editor and fillable form builder but a powerful e-signature solution that you can add directly to your Chrome browser. Using our extension, you can create your legally-binding eSignature by typing, drawing, or capturing a photo of your signature using your webcam. Choose whichever method you prefer and eSign your request for reasonable accommodation in minutes.