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RECORD OF REASONABLE ACCOMMODATION (FMLA×ADANA) This form is to be completed when reasonable accommodation is made for an employee that is on or returning from FMLA×ADANA. Please complete one form
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How to fill out record of reasonable accommodation

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How to fill out record of reasonable accommodation:

01
Start by gathering all necessary information and documentation relating to the accommodation request. This may include medical records, supporting documents, or any other evidence that supports the need for accommodation.
02
Begin filling out the record by clearly stating the accommodation being requested. Be specific and provide details on why this accommodation is necessary.
03
Describe the individual’s condition or disability that requires the accommodation. Provide any relevant medical or professional opinions that support the request.
04
Specify any limitations or barriers faced by the individual without the accommodation. Explain how the requested accommodation will help overcome these challenges.
05
Outline any alternative accommodations that have been considered but deemed unsuitable. Provide reasons why these alternatives are not viable options.
06
Include any supporting documents such as medical reports, assessments, or expert opinions that validate the need for the requested accommodation.
07
Ensure that the record is signed and dated by the person making the request, as well as any other relevant parties such as medical professionals or advocates involved in the process.
08
Keep a copy of the filled-out record for your records and provide a copy to the person making the accommodation request.

Who needs a record of reasonable accommodation?

01
Individuals with disabilities or medical conditions who require accommodations to fully participate in activities or access services.
02
Employers or service providers who have received an accommodation request and need to maintain a record of the request and any subsequent actions taken.
03
Human resources personnel, managers, or administrators who are responsible for reviewing and evaluating accommodation requests and making decisions based on the provided records.
Remember, the process for filling out a record of reasonable accommodation may vary depending on the specific requirements of the organization or institution involved. It is important to consult any provided guidelines or instructions to ensure that the record is filled out accurately and thoroughly.
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The record of reasonable accommodation is a formal document outlining the steps taken to accommodate an individual's disability in the workplace or in housing.
Employers and landlords are usually required to file a record of reasonable accommodation when requested by an individual with a disability.
The record of reasonable accommodation should be filled out by providing detailed information about the disability, necessary accommodations, and steps taken to accommodate the individual.
The purpose of the record of reasonable accommodation is to document the accommodation process and ensure that individuals with disabilities are provided with the necessary support.
The record of reasonable accommodation should include information about the individual's disability, requested accommodations, and any actions taken to accommodate the individual.
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