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REQUEST FOR REASONABLE ACCOMMODATION (FOR APPLICANTS) CLIENT NO. DATE OF REQUEST: NAME OF APPLICANT: STREET ADDRESS: CITY: APT NO: STATE: ZIP CODE: TELEPHONE NO: NAME OF DISABLED FAMILY MEMBER NEEDING
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How to fill out request for reasonable accommodation

How to Fill Out a Request for Reasonable Accommodation:
01
Obtain the request form: Begin by obtaining the appropriate request form for reasonable accommodation. This form can typically be obtained from your employer, educational institution, or housing provider.
02
Provide your personal information: Fill out the required personal information on the form. This may include your full name, contact details, and any identification numbers or account information that is relevant to the request.
03
Clearly describe the accommodation needed: In a separate section of the form, clearly describe the nature of the accommodation you are seeking. Be specific and provide as much detail as possible to help the decision-maker understand your request.
04
Explain the reason for the accommodation: Provide a thorough explanation as to why you require the accommodation. It is important to outline any disability, medical condition, or other factors that necessitate the need for a reasonable accommodation.
05
Present any supporting documentation: If applicable, include any supporting documentation that corroborates your request. This may include medical reports, therapist recommendations, or other relevant information that supports the need for accommodation.
06
Specify effective dates and duration: Indicate the desired effective dates for the accommodation and specify whether it is a one-time request or an ongoing need. Providing a clear timeline helps the decision-maker understand the duration for which the accommodation is needed.
07
Consent for communication with healthcare providers: Some request forms may include a section where you can provide consent for the decision-maker to communicate with your healthcare providers, if necessary. Read this section carefully and decide whether you would like to grant consent or not.
08
Sign and date the form: Finally, make sure to sign and date the form to authenticate your request. Some forms may require additional witness signatures or notarization, so carefully review the instructions provided.
Who Needs a Request for Reasonable Accommodation:
01
Employees with disabilities: Individuals working for an organization who have a qualifying disability may need to submit a request for reasonable accommodation to ensure their work environment is accessible and inclusive.
02
Students with disabilities: Students attending educational institutions may require reasonable accommodations to ensure equal access to education. These accommodations may be necessary during exams, assignments, or other academic settings.
03
Individuals seeking housing: Individuals who are applying for housing, such as apartments or rental properties, and have a disability may need to submit a request for reasonable accommodation to ensure they can fully enjoy and access their chosen residence without facing any barriers.
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What is request for reasonable accommodation?
A request for reasonable accommodation is a formal request made by an individual with a disability to make changes or adjustments to a job or workplace in order to enable them to perform their job duties.
Who is required to file request for reasonable accommodation?
The individual with a disability is required to file a request for reasonable accommodation.
How to fill out request for reasonable accommodation?
The individual should fill out a request form provided by their employer, detailing their disability, the accommodations needed, and any relevant medical documentation.
What is the purpose of request for reasonable accommodation?
The purpose of a request for reasonable accommodation is to ensure that individuals with disabilities have equal opportunities in the workplace.
What information must be reported on request for reasonable accommodation?
Information such as the nature of the disability, the specific accommodations being requested, and any relevant medical documentation must be reported on the request for reasonable accommodation.
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