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This document provides instructions for completing the ADA Accommodation Request form for applicants with disabilities seeking accommodations for examinations administered by the Oregon State Board
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How to fill out ada accommodation request

How to fill out ADA Accommodation Request
01
Obtain the ADA Accommodation Request form from your employer or organization's HR department.
02
Fill in your personal information at the top of the form, including your name, job title, and contact details.
03
Clearly describe your disability and how it limits your ability to perform specific job functions.
04
Specify the type of accommodation you are requesting and how it will assist you in performing your job.
05
Attach any necessary medical documentation that supports your request for accommodation.
06
Review your completed form for accuracy and completeness.
07
Submit the form to your HR department or designated personnel, and keep a copy for your records.
Who needs ADA Accommodation Request?
01
Individuals with disabilities who require modifications or assistance to perform their job duties effectively.
02
Employees who feel that their medical condition limits their ability to work in their current environment.
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What are some examples of ADA accommodations?
Requesting Reasonable Accommodation An individual may use "plain English" and need not mention the ADA or use the phrase "reasonable accommodation." Requests for reasonable accommodation do not need to be in writing, though an employer may choose to write a memorandum or letter confirming the request.
What are some ADA examples?
Examples of Disabilities Cancer. Diabetes. Post-traumatic stress disorder. HIV. Autism. Cerebral palsy. Deafness or hearing loss. Blindness or low vision.
What is not an example of ADA accommodations?
Reasonable accommodation does not include removing essential job functions, creating new jobs, and providing personal need items such as eye glasses and mobility aids. Nothing in the ADA prohibits employers from providing these types of accommodations; they simply are not required accommodations.
How do I write an ADA accommodation request?
Dear [Insert employer's name here]: I am writing this letter to submit a request for accommodations in the workplace. I have pain in my lower back. Sitting or standing for long periods of time in the same position is causing increased pain and is decreasing my mobility.
What medical conditions are included in ADA?
Physical or mental impairments include, but are not limited to: visual, speech, and hearing impairments; mental ation, emotional illness, and specific learning disabilities; cerebral palsy; epilepsy; muscular dystrophy; multiple sclerosis; orthopedic conditions; cancer; heart disease; diabetes; and contagious and
What is the most common accommodation request under the ADA?
A common type of reasonable accommodation is job restructuring. Job restructuring includes modifications such as reallocating or redistributing job functions that an employee is unable to perform because of a disability. It also includes altering when and how a function is performed.
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What is ADA Accommodation Request?
An ADA Accommodation Request is a formal request made by an individual to their employer or educational institution for modifications or adjustments to the workplace or academic environment due to a disability, in compliance with the Americans with Disabilities Act.
Who is required to file ADA Accommodation Request?
Individuals with disabilities who require modifications or accommodations to perform their job duties or to participate in educational programs are required to file an ADA Accommodation Request.
How to fill out ADA Accommodation Request?
To fill out an ADA Accommodation Request, individuals must complete a designated form provided by their employer or educational institution, detailing their disability, the specific accommodations needed, and any relevant medical documentation to support their request.
What is the purpose of ADA Accommodation Request?
The purpose of an ADA Accommodation Request is to formally inform the employer or educational institution of an individual's disability and the need for specific accommodations that enable the individual to perform their duties or participate in programs effectively.
What information must be reported on ADA Accommodation Request?
The information that must be reported on an ADA Accommodation Request includes the individual's name, contact information, a description of the disability, the specific accommodations requested, and any supporting medical documentation if required.
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