Get the free Reasonable Accommodation Request Form - sullivan

This form is used by employees to request reasonable accommodations in the workplace due to limitations affecting their job performance or access to employment benefits.

How to fill out reasonable accommodation request form

How to fill out Reasonable Accommodation Request Form

1. Obtain the Reasonable Accommodation Request Form from your employer or organization's HR department.
2. Read the instructions carefully to understand the information required.
3. Fill out the personal information section, including your name, employee ID, and contact details.
4. Indicate the nature of your disability or condition, if applicable, and how it affects your ability to perform your job.
5. Specify the type of accommodation you are requesting and how it will help you perform your duties.
6. Provide any supporting documentation or evidence, such as medical certificates, if required.
7. Review the form for accuracy and completeness.
8. Submit the completed form to the designated HR representative or manager, following any specific submission guidelines provided.

Who needs Reasonable Accommodation Request Form?

1. Employees with disabilities who require modifications or adjustments to their work environment or job tasks.
2. Individuals who are experiencing temporary medical conditions that impact their work ability.
3. Workers seeking support for mental health issues that require accommodations.

People Also Ask about

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.

What to say in a reasonable accommodation request?

(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.

What is an example of an accommodation statement?

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 do you write a good 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.

Is there an ADA accommodation form?

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.

What documentation is needed for a 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

What are examples of reasonable accommodations?

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.].

For pdfFiller’s FAQs

What is Reasonable Accommodation Request Form?

The Reasonable Accommodation Request Form is a document used by individuals to request modifications or adjustments to policies, practices, or environments that enable them to perform their job duties or access services effectively, particularly in the context of disabilities.

Who is required to file Reasonable Accommodation Request Form?

Employees or applicants who have a disability and require accommodations to perform their job responsibilities or to participate in the application process are required to file the Reasonable Accommodation Request Form.

How to fill out Reasonable Accommodation Request Form?

To fill out the Reasonable Accommodation Request Form, individuals should provide their personal information, a detailed description of the disability, specify the type of accommodation needed, and include any relevant medical documentation if necessary.

What is the purpose of Reasonable Accommodation Request Form?

The purpose of the Reasonable Accommodation Request Form is to formally document an individual's need for accommodations in order to ensure compliance with disability rights laws and to provide the necessary adjustments to help them succeed in their roles.

What information must be reported on Reasonable Accommodation Request Form?

The Reasonable Accommodation Request Form must report information such as the individual's name, job title, description of the disability, specific accommodations requested, and any supporting medical documentation related to the disability.