Get the free Reasonable Accommodation Request Form - sullivan

This form is intended for employees to request reasonable accommodations related to their job performance or access to employment benefits due to limitations they may face.

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 HR department or company's website.
2. Fill in your personal information, including your name, job title, and department.
3. Clearly describe the nature of your disability or condition that necessitates the accommodation.
4. Specify the type of accommodation you are requesting.
5. Include any relevant medical documentation that supports your request, if required.
6. Review the form for accuracy and completeness before submission.
7. Submit the form to the designated HR personnel or department according to your organization’s guidelines.

Who needs Reasonable Accommodation Request Form?

1. Employees who have a disability or medical condition that requires adjustments to their work environment or job responsibilities.
2. Individuals seeking to improve their work performance or experience due to health-related challenges.

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 formally request accommodations in the workplace or educational settings due to a disability or special need.

Who is required to file Reasonable Accommodation Request Form?

Any employee or student who requires adjustments or accommodations to perform their job or engage in educational activities due to a disability is required to file the Reasonable Accommodation Request Form.

How to fill out Reasonable Accommodation Request Form?

To fill out the form, an individual must provide their personal information, a description of the disability, the requested accommodation(s), and any supporting documentation that may be required.

What is the purpose of Reasonable Accommodation Request Form?

The purpose of the Reasonable Accommodation Request Form is to facilitate the process of requesting necessary changes to the work or educational environment that enable individuals to perform effectively despite their disabilities.

What information must be reported on Reasonable Accommodation Request Form?

The form must report personal information such as name and contact details, a description of the disability, specific accommodation requests, and any relevant medical or supporting documentation.