Get the free Request for Screensaver Exemption Form

Request for Screensaver Exemption Form Instructions: Fill out this form. If you require more space please attach responses to this form. Once finished, please send this form to the IT Service Desk

How to fill out request for screensaver exemption

How to fill out a request for screensaver exemption:

1. Start by accessing the appropriate form for requesting a screensaver exemption. This form can typically be found on the website or intranet of your organization or company.
2. Begin filling out the form by providing your personal information, such as your full name, contact details, and employee or identification number. Make sure to double-check the accuracy of this information.
3. Next, indicate the reason for your request for a screensaver exemption. This could be due to a medical condition, a disability, or any other valid reason that requires you to bypass or disable screensavers.
4. Provide any necessary documentation or supporting evidence for your request. This may include medical certificates, letters from healthcare professionals, or any other relevant documents that support your need for a screensaver exemption.
5. Specify the duration of the exemption. You may need the exemption to be temporary or permanent, depending on your circumstances. Clearly state your desired duration in the designated section of the form.
6. If applicable, explain any accommodations or alternatives that could be implemented in place of the screensaver exemption. This could include suggestions such as using a different type of visual display or adjusting the settings of the existing screensaver to accommodate your needs.
7. Review the completed form thoroughly for any errors or omissions. Ensure that all sections are filled out accurately and completely.
8. Follow any additional instructions provided on the form, such as submitting the form to a specific department or individual within your organization. Be sure to attach any required documentation as indicated.

Who needs a request for screensaver exemption:

1. Individuals with specific medical conditions that may be aggravated by continuous screen movement or brightness, such as migraines, epilepsy, or visual impairments.
2. Employees or individuals with disabilities who require reasonable accommodations to fully access and participate in computer-related tasks.
3. Any individual who has a valid reason for needing a screensaver exemption, such as those working with specialized software or equipment that may conflict with screensaver functionality.

Remember to consult with your organization's policies and guidelines regarding screensavers and accommodations to ensure you are following the correct procedures in submitting your request.

For pdfFiller’s FAQs

What is request for screensaver exemption?

A request for screensaver exemption is a formal application to be excused from the mandatory screensaver policy.

Who is required to file request for screensaver exemption?

Employees who have a valid reason for not being able to comply with the screensaver policy are required to file a request for exemption.

How to fill out request for screensaver exemption?

The request form for screensaver exemption must be completed with personal details, the reason for exemption, and any supporting documentation.

What is the purpose of request for screensaver exemption?

The purpose of the request for screensaver exemption is to provide individuals with the opportunity to explain why they cannot adhere to the screensaver policy.

What information must be reported on request for screensaver exemption?

The request must include the employee's name, department, reason for exemption, and any relevant supporting documents.

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