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South Dakota Science & Technology Authority REASONABLE ACCOMMODATION REQUEST FORM To: (Department Head) From: (Name of person requesting accommodation) Address: Street Telephone: (Apt. # City State
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How to fill out reasonable accommodation request form

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How to fill out a reasonable accommodation request form:

01
Start by obtaining a copy of the reasonable accommodation request form. This form can typically be found on the website or intranet of your employer or organization.
02
Carefully read and understand the instructions provided on the form. Ensure that you have a clear understanding of what constitutes a reasonable accommodation and what types of accommodations are available.
03
Begin filling out the form by providing your personal information, such as your name, contact information, and employee or membership ID number.
04
Clearly state the nature of your disability or medical condition that requires a reasonable accommodation. Be specific and provide any supporting documentation, such as medical reports or letters from healthcare professionals, if required.
05
Indicate the specific accommodation(s) you are requesting. It is important to be clear and concise in your request. Provide details on how the requested accommodation(s) will enable you to perform your job or participate fully in the organization's programs and activities.
06
If applicable, you may need to include any suggested alternatives or modifications to your work environment or tasks that may facilitate your ability to perform your duties effectively.
07
Sign and date the form. By doing so, you are acknowledging that the information provided is accurate and complete to the best of your knowledge.
08
Submit the completed form to the appropriate department or individual responsible for handling reasonable accommodation requests. Follow any additional instructions provided, such as attaching supporting documentation or scheduling a meeting to discuss your request further.

Who needs a reasonable accommodation request form:

01
Employees with disabilities: Individuals who have a disability as defined by the Americans with Disabilities Act (ADA) may need a reasonable accommodation request form. This form allows them to formally request accommodations that will enable them to perform their job duties effectively.
02
Students with disabilities: Students who require accommodations to participate fully in their educational programs, such as extended time on exams or accessible classroom materials, may need a reasonable accommodation request form. This form allows them to request accommodations from their educational institution.
03
Members of an organization or community: Some organizations or communities may have their own reasonable accommodation request forms to meet the specific needs of their members. This can include accommodations for events, activities, or facilities to ensure equal participation and accessibility for all members.
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Reasonable accommodation request form is a document that individuals can submit to request modifications or adjustments to policies, practices, or procedures in order to access services or resources on equal terms.
Any individual who believes they may need an accommodation due to a disability or other protected characteristic.
The form typically requires the individual to provide information about their condition, the specific accommodation requested, and any supporting documentation.
The purpose of the form is to ensure that individuals with disabilities have equal access to services and resources by requesting necessary accommodations.
The form may require details about the individual's condition, the requested accommodation, and any supporting documentation from a medical professional.
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