Get the free Employment Accommodation Request Form - eeo okstate

Office of Equal Opportunity & Affirmative Action Division of Institutional Diversity Oklahoma State University 408 Whitehorse Stillwater OK 74078 Phone 405.744.9153 Fax 405.744.5576 Employment Accommodation

How to fill out employment accommodation request form

How to fill out an employment accommodation request form:

1. Start by entering your personal information such as your full name, contact details, and employee identification number.
2. Provide the details of your current employment, including your job title, department, and supervisor's name.
3. Clearly state the nature of your request for accommodation, whether it is related to a disability, medical condition, or other legitimate reason.
4. Describe the specific accommodations you are seeking and how they will enable you to perform your job effectively. Be as detailed as possible to ensure a comprehensive understanding of your needs.
5. Include any supporting documentation or medical records that can substantiate your request for accommodation.
6. Indicate if you have previously requested accommodation for the same or a similar issue and the outcome of that request, if applicable.
7. Sign and date the form to confirm that the information provided is accurate and complete.
8. Submit the completed form to the relevant department or individual responsible for handling accommodation requests in your organization.

Who needs an employment accommodation request form?

1. Employees who require accommodations due to a disability or medical condition.
2. Individuals who are temporarily or permanently limited in their ability to perform certain job tasks.
3. Employees seeking modifications to their work environment or schedule to better meet their needs.
4. Individuals who believe they have experienced discrimination or unequal treatment in the workplace based on a protected characteristic, and are requesting reasonable accommodations as a remedy.
5. Employees who have been advised by a healthcare professional or specialist to seek accommodations for their job duties.

Note: The specific policies and procedures for requesting accommodations may vary between organizations. It is advisable to consult your employer's policies or human resources department for precise instructions on filling out the employment accommodation request form.

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What is employment accommodation request form?

The employment accommodation request form is a document used by employees to request accommodations in the workplace due to a disability or medical condition.

Who is required to file employment accommodation request form?

Employees who require accommodations in the workplace due to a disability or medical condition are required to file the employment accommodation request form.

How to fill out employment accommodation request form?

Employees can fill out the employment accommodation request form by providing details about their disability or medical condition, explaining the accommodations they need, and submitting it to their employer or HR department.

What is the purpose of employment accommodation request form?

The purpose of the employment accommodation request form is to ensure that employees with disabilities or medical conditions receive the necessary accommodations to perform their job duties effectively.

What information must be reported on employment accommodation request form?

The employment accommodation request form should include information about the employee's disability or medical condition, the specific accommodations requested, and any supporting documentation from a healthcare provider.