Get the free Employee Accommodation Request Form - busfin uga

This form is used by University employees to request reasonable accommodations related to disabilities in order to perform their job effectively.

How to fill out employee accommodation request form

How to fill out Employee Accommodation Request Form

1. Obtain the Employee Accommodation Request Form from the HR department or download it from the company intranet.
2. Read the instructions carefully to understand the purpose of the form.
3. Fill out your personal information, including your name, employee ID, and department.
4. Provide a detailed description of your accommodation needs and the reasons for the request.
5. Attach any supporting documentation from healthcare professionals, if necessary.
6. Submit the completed form to your immediate supervisor or the HR department.
7. Follow up with HR to confirm receipt and to inquire about the timeline for review.

Who needs Employee Accommodation Request Form?

1. Any employee who requires modifications or adjustments in their work environment due to a medical condition, disability, or personal circumstance.
2. Employees seeking assistance to manage their workload or work conditions to enhance productivity and well-being.

People Also Ask about

How do I write an email asking for accommodation?

I am writing to request accommodations in the workplace. I have worked at _ [insert company name] as a __ [insert your job position] since __ [approximate date you were hired]. I am experiencing some difficulties in effectively performing my job because of my disability.

How do I ask for an accommodation request?

There is no need to mention the ADA or use the phrase “reasonable accommodation.” Requests for reasonable accommodation do not have to be in writing and can be requested in a face-to-face conversation or using any other method of communication.

How do I tell my boss I need accommodations?

Email your request to ask for disability accommodations. This could be as simple as ``Hi, Boss Name, can we set up a meeting? I need to ask about some accommodations for my disability. How's Tuesday at 2 work for your schedule?''

How to write a request for accommodations?

Content to consider in body of letter: Identify yourself as a person with a disability. State that you are requesting accommodations under the ADA (or the Rehabilitation Act of 1973 if you are a federal employee) Identify your specific problematic job tasks. Identify your accommodation ideas.

How can I ask for accommodation?

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.

What is an example of a reasonable accommodation?

Examples of reasonable accommodations include providing interpreters, readers, or other personal assistance; modifying job duties; restructuring work sites; providing flexible work schedules or work sites (i.e. telework) and providing accessible technology or other workplace adaptive equipment.

What is an example of an accommodation letter?

Due to my disability, I require simple accommodations to perform my essential job functions. I have provided you with documentation of my disability and my need for job accommodations. As the enclosed documentation indicates, I have diabetes. Diabetes is a disease that affects the way the body uses food.

How do you politely ask for accommodation?

Dear [Insert employer's name here]: I have been having medical issues that have affected my mood, sleep schedule, concentration, and focus. I would like to request accommodations so that I might be able to perform my job effectively before my performance starts to suffer.

For pdfFiller’s FAQs

What is Employee Accommodation Request Form?

The Employee Accommodation Request Form is a document used by employees to formally request accommodations for their specific needs in the workplace, such as those related to disabilities or other personal circumstances.

Who is required to file Employee Accommodation Request Form?

Employees who require accommodations due to a medical condition, disability, or other significant personal situations are required to file the Employee Accommodation Request Form.

How to fill out Employee Accommodation Request Form?

To fill out the Employee Accommodation Request Form, employees should provide accurate personal information, describe the accommodation needed, explain how the accommodation will assist them in performing their job, and attach any supporting documentation if required.

What is the purpose of Employee Accommodation Request Form?

The purpose of the Employee Accommodation Request Form is to facilitate communication between employees and employers regarding necessary adjustments in the workplace for individuals requiring assistance to perform their job effectively.

What information must be reported on Employee Accommodation Request Form?

The information that must be reported on the Employee Accommodation Request Form includes the employee's name, contact information, details of the accommodation requested, justification for the request, and any relevant medical documentation.