Get the free CONFIDENTIAL REASONABLE ACCOMMODATION REQUEST FORM - ccsuedu

CONFIDENTIAL REASONABLE ACCOMMODATION REQUEST FORM To be completed by employee or job applicant requesting accommodation. Send to: Rosa Rodriguez, Chief Diversity Officer, Office of Diversity and

How to fill out confidential reasonable accommodation request

How to fill out a confidential reasonable accommodation request:

1. Begin by clearly identifying yourself as the person requesting the accommodation. Include your name, contact information, and any relevant identification numbers such as employee or student ID.
2. Provide a detailed description of the accommodation you are requesting. Clearly explain why you need the accommodation and how it would benefit you. Be specific and provide supporting documentation if necessary, such as medical records or letters from healthcare professionals.
3. Indicate whether the accommodation is temporary or permanent. If it is temporary, specify the expected duration. Additionally, include any necessary timelines or deadlines related to your accommodation request.
4. Address any potential limitations or challenges that may arise as a result of the requested accommodation. Offer suggestions or workarounds that could help mitigate these challenges.
5. Include any documentation or evidence that supports your need for the accommodation. This could include medical reports, evaluations, or testimonies from qualified professionals.
6. Clarify any potential costs or resources needed to implement the accommodation. If applicable, explain how you or your department will bear the associated expenses or identify potential funding sources.

Who needs a confidential reasonable accommodation request?

1. Employees or job applicants who require accommodations at their workplace due to a disability or medical condition may need to submit a confidential reasonable accommodation request.
2. Students with disabilities or medical conditions enrolled in educational institutions may also need to submit a confidential reasonable accommodation request to ensure equal access to educational opportunities.
3. Individuals participating in government programs, such as welfare or unemployment, may need to submit a request for reasonable accommodation if they require support due to a disability or medical condition.

Overall, anyone who faces barriers or limitations due to a disability or medical condition and requires adjustments or modifications to access employment, education, or government programs may need to submit a confidential reasonable accommodation request.

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What is confidential reasonable accommodation request?

Confidential reasonable accommodation request is a request for special arrangements or adjustments made by an organization to accommodate an individual's disability or medical condition.

Who is required to file confidential reasonable accommodation request?

Any individual with a disability or medical condition who requires special accommodations in the workplace is required to file a confidential reasonable accommodation request.

How to fill out confidential reasonable accommodation request?

To fill out a confidential reasonable accommodation request, the individual should contact their employer's HR department or designated ADA coordinator for the necessary forms and guidance on the process.

What is the purpose of confidential reasonable accommodation request?

The purpose of a confidential reasonable accommodation request is to ensure that individuals with disabilities or medical conditions are provided with necessary accommodations to perform their job duties effectively and without discrimination.

What information must be reported on confidential reasonable accommodation request?

The confidential reasonable accommodation request should include details about the individual's disability or medical condition, specific accommodations being requested, and any supporting medical documentation.