Get the free REQUEST FOR REASONABLE ACCOMMODATION FORM Reasonable Accommodations for Individuals ...

Form CC 605017 (Version 2) 02/10/2014 REQUEST FOR REASONABLE ACCOMMODATION FORM Applicant/employee name: Title/series/pay band: Supervisor name: Office address: Office phone: Email: Current date:

How to fill out request for reasonable accommodation

How to fill out a request for reasonable accommodation:

1. Begin by providing your personal information, including your name, contact details, and any relevant employee or student identification numbers.
2. Clearly state the date of your request and the reason for needing a reasonable accommodation. It is important to explain how your disability or medical condition affects your ability to perform essential job functions or participate fully in educational activities.
3. Describe the specific accommodations you are seeking. Be specific and detailed about the modifications or adjustments you believe would enable you to perform your job duties or complete your studies effectively. Provide any documentation, medical records, or evaluations that support your request.
4. If appropriate, suggest alternative accommodations that you believe would be equally effective. This shows your willingness to collaborate with the organization or institution to find a solution that works for both parties.
5. Offer suggestions or examples of accommodations that have worked for you or others in similar situations, if applicable. This can provide additional clarity and context to support your request.
6. Request a meeting or discussion with the relevant individuals or department to discuss your request further. Provide your availability and offer to provide any additional information or documentation needed.
7. Sign and date the request form, verifying that the information provided is accurate and true to the best of your knowledge.
8. Keep a copy of the completed request for your records.

Who needs a request for reasonable accommodation?

An individual who has a disability or medical condition that substantially limits their major life activities is eligible to submit a request for reasonable accommodation. This can include employees, job applicants, and students in an educational institution who require certain modifications or adjustments to their environment, equipment, policies, or practices to ensure equal opportunity and access. It is important to note that the need for a reasonable accommodation should be directly related to the disability or medical condition and necessary for the individual to perform their essential job functions or participate fully in educational activities.

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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 in order to enable them to have equal access to opportunities.

Who is required to file request for reasonable accommodation?

Any individual with a disability who requires accommodations in order to have equal access to opportunities is required to file a request for reasonable accommodation.

How to fill out request for reasonable accommodation?

To fill out a request for reasonable accommodation, the individual must provide information about their disability, the accommodations they are requesting, and any supporting 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 access to opportunities and are not discriminated against based on their disability.

What information must be reported on request for reasonable accommodation?

The request for reasonable accommodation must include information about the individual's disability, the specific accommodations being requested, and any supporting documentation.