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Village of Palm Springs 226 Cypress Lane Palm Springs, FL 33461 Phone (561) 9654016 Fax (561) 4394132 www.vpsfl.org REASONABLE ACCOMMODATION REQUEST FORM Reasonable accommodation is any modification
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How to fill out a reasonable accommodation is:

01
Start by identifying the specific reason for needing a reasonable accommodation. This could be a disability, medical condition, or any other circumstance that requires an adjustment to be made in order to provide equal opportunities or accessibility.
02
Gather necessary documentation or evidence to support your request. This may include medical records, recommendations from healthcare professionals, or any other relevant information that can substantiate your need for accommodation.
03
Review the policies and procedures of the organization or institution you are requesting the accommodation from. Familiarize yourself with their guidelines and requirements for requesting accommodations. This will help ensure that you provide all necessary information and follow the correct process.
04
Contact the appropriate authority or department responsible for handling accommodation requests. This could be the human resources department, disability services office, or any other designated department within the organization.
05
Complete the necessary forms or documentation provided by the organization. Be thorough in providing all relevant details and clearly articulate your accommodation needs. Specify any modifications or adjustments that you require in order to perform your duties or access facilities and services.
06
Submit the completed accommodation request within the specified timeframe. Keep copies of all documentation for your records.
07
Follow up with the organization if you haven't received a response within a reasonable timeframe. Communication is key in ensuring that your request is being processed and addressed appropriately.
08
Be open to discussing alternative accommodations or engaging in a dialogue with the organization. Collaboration and flexibility can often lead to finding the most suitable solution for all parties involved.

Who needs a reasonable accommodation is:

01
Individuals with disabilities who require adjustments in order to effectively perform their job, participate in educational activities, or access services or facilities.
02
Employees or applicants for a job who may have a medical condition or disability that necessitates accommodations to perform their duties or compete on an equal basis with other candidates.
03
Students with disabilities who require accommodations in order to fully engage in educational programs and achieve academic success.
04
People with temporary or permanent impairments who need modifications or adjustments to ensure accessibility and equal participation in various aspects of life, such as housing, transportation, or public services.
05
Any individual who may encounter barriers or limitations due to their disability or medical condition and could benefit from accommodations to promote inclusivity and equal opportunities.
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A reasonable accommodation is a modification or adjustment to a job, work environment, or the way work is performed to allow an individual with a disability to have equal employment opportunities.
An individual with a disability who needs a modification or adjustment in the workplace is required to file a request for a reasonable accommodation.
To fill out a reasonable accommodation request, the individual with a disability should typically complete a form provided by their employer or human resources department, detailing the accommodation needed and supporting documentation.
The purpose of a reasonable accommodation is to eliminate barriers in the workplace for individuals with disabilities and provide them with equal opportunities for employment and advancement.
The information required on a reasonable accommodation request may include details about the disability, the specific accommodation needed, how the accommodation will enable the individual to perform their job, and any supporting medical documentation.
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