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Get the free REQUEST FORM for REASONABLE ACCOMMODATIONS - hsph harvard

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This form is used by students with disabilities to request reasonable accommodations for classroom activities, examinations, housing, and transportation at Harvard School of Public Health.
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How to fill out REQUEST FORM for REASONABLE ACCOMMODATIONS

01
Obtain the REQUEST FORM for REASONABLE ACCOMMODATIONS from your HR department or designated official.
02
Read the instructions provided on the form carefully.
03
Fill out your personal information, including your name, contact information, and job title.
04
Specify the nature of your disability or condition that requires accommodation.
05
Describe the accommodations you are requesting and how they will assist you in performing your job.
06
Attach any supporting documentation, such as medical records or a doctor's note, if necessary.
07
Review the completed form for accuracy and completeness.
08
Submit the REQUEST FORM to the appropriate person or department as indicated in the instructions.

Who needs REQUEST FORM for REASONABLE ACCOMMODATIONS?

01
Employees who have disabilities or medical conditions that require adjustments to their work environment or job duties.
02
Individuals seeking to formally request accommodations in their workplace due to a disability.
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You write them a letter and let them know that you have a) specific disability(s) and it would be helpful if (the employer) could _ specific points of accommodation_. Then let them know you can provide medical docs as needed. Thank them and ask for a timely reply.
Reasonable Accommodation Sample Letter Dear (Employer name), I have worked for you for (years/months/days) as a (job title). I am a qualified individual with a disability. By this I mean, I have a medical condition and I can perform the essential functions of (job title) with a reasonable 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.
Examples of Accommodations Computer with optical character reader, voice output, Braille screen display and printer output. Seating near the front of class. Large print handouts, lab signs, and equipment labels. Class assignments made available in electronic format. Other assistive technology.
You can make your initial request in a face-to-face meeting, by e-mail, by fax, or in a formal letter to your employer. There are no official forms for making a request under the ADA. However, some employers develop their own forms and may ask you to complete them after you make your initial 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).
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.
The reasonable accommodation process begins when you make your request. You can do this simply by indicating a need for accommodation to your supervisor. The ADA does not require that you use any formulaic legal phrases or invoke the law to make the request. Any “plain English” request will suffice.

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The REQUEST FORM for REASONABLE ACCOMMODATIONS is a document used by individuals to formally request modifications or adjustments in their work environment or job duties to accommodate their disabilities.
Employees who have a disability and require adjustments to their work conditions or job responsibilities to perform their duties are required to file the REQUEST FORM for REASONABLE ACCOMMODATIONS.
To fill out the REQUEST FORM for REASONABLE ACCOMMODATIONS, individuals should provide their personal information, describe their disability, specify the requested accommodations, and provide any supporting documentation if necessary.
The purpose of the REQUEST FORM for REASONABLE ACCOMMODATIONS is to ensure that individuals with disabilities can effectively communicate their needs to their employers and to formalize the process of requesting accommodations.
The information that must be reported on the REQUEST FORM for REASONABLE ACCOMMODATIONS includes the individual’s name, contact information, details about the disability, the specific accommodations requested, and any relevant medical documentation.
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