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This document is a request form for individuals seeking reasonable accommodations under Title II of the Americans with Disabilities Act and Section 504 of the Rehabilitation Act.

How to fill out request for reasonable accommodation

How to fill out Request for Reasonable Accommodation

1. Obtain the Request for Reasonable Accommodation form from your HR department or online resources.
2. Read the instructions carefully before starting to fill out the form.
3. Provide your personal information, including your name, job title, and contact details.
4. Describe the nature of your disability or condition clearly and concisely.
5. Specify the type of reasonable accommodation you are requesting.
6. Explain how the requested accommodation will help you perform your job effectively.
7. If applicable, include any supporting documentation or medical evidence.
8. Review the form to ensure all information is accurate and complete.
9. Submit the completed form to the appropriate HR representative or department.

Who needs Request for Reasonable Accommodation?

1. Individuals with disabilities who require adjustments or modifications to their work environment or job duties.
2. Employees seeking assistance to perform their job effectively due to medical conditions.
3. Job applicants with disabilities who need accommodations during the hiring process.

People Also Ask about

How do you write a letter requesting for accommodation?

Dear [Insert employer's name here]: I am writing this letter to submit a request for accommodations in the workplace. I have pain in my lower back. Sitting or standing for long periods of time in the same position is causing increased pain and is decreasing my mobility.

What are examples of reasonable accommodations?

Email your request to ask for disability accommodations. This could be as simple as ``Hi, Boss Name, can we set up a meeting? I need to ask about some accommodations for my disability. How's Tuesday at 2 work for your schedule?''

What is an example of a reasonable accommodation request?

I am experiencing the following difficulties in performing my job because of my disability: __. I am writing to request that you _ (state requested accommodation) because it will (how it will help you do your job) as a reasonable accommodation.

How do I write a request for accommodations?

Content to consider in body of letter: Identify yourself as a person with a disability. State that you are requesting accommodations under the ADA (or the Rehabilitation Act of 1973 if you are a federal employee) Identify your specific problematic job tasks. Identify your accommodation ideas.

How to write a formal letter requesting for accommodation?

Dear [Insert employer's name here]: I have been having medical issues that have affected my mood, sleep schedule, concentration, and focus. I would like to request accommodations so that I might be able to perform my job effectively before my performance starts to suffer.

How do I write a reasonable accommodation request?

Write down precisely what job-related limitations your condition imposes and note how they can be overcome by accommodations. Identify potential accommodations and assess how effective each would be in allowing you to perform the job. Document all aspects of the accommodation--including cost and availability.

For pdfFiller’s FAQs

What is Request for Reasonable Accommodation?

A Request for Reasonable Accommodation is a formal request made by an individual with a disability to modify or adjust a job, work environment, or policies to enable them to perform their job effectively.

Who is required to file Request for Reasonable Accommodation?

Any employee or job applicant who has a disability and requires an adjustment to their work environment or job responsibilities to perform their duties 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, an individual should complete a specific form provided by their employer, clearly describe their disability, specify the accommodation needed, and provide any necessary documentation supporting their request.

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 employment opportunities and can perform their job duties by providing necessary adjustments or modifications.

What information must be reported on Request for Reasonable Accommodation?

The information that must be reported on a Request for Reasonable Accommodation includes the individual’s name, contact information, details about the disability, the specific accommodation requested, and any supporting medical documentation.