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This document is used by employees to request reasonable accommodations for their permanent impairments to help them perform essential job functions, in accordance with personnel policy.

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 relevant office.
2. Read the instructions thoroughly to understand the requirements.
3. Fill out your personal information at the top of the form, including your name, contact information, and position.
4. Clearly describe your disability or condition and how it affects your ability to perform your job.
5. Specify the type of accommodation you are requesting and how it will help you fulfill your job duties.
6. Provide any supporting documentation or evidence from medical professionals if required.
7. Sign and date the form to certify the information provided is true.
8. Submit the completed form to the designated HR personnel or office.

Who needs Request for Reasonable Accommodation?

1. Employees or applicants with disabilities who require adjustments or modifications to their work environment.
2. Individuals who are facing barriers to performing their job due to a medical condition.
3. Anyone seeking support to ensure equitable access to employment opportunities.

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 employee or individual with a disability to an employer or organization to modify the workplace or job duties to enable them to perform their job effectively.

Who is required to file Request for Reasonable Accommodation?

Individuals with disabilities who require modifications or adjustments to their work environment or job responsibilities to perform their job are required to file a Request for Reasonable Accommodation.

How to fill out Request for Reasonable Accommodation?

To fill out a Request for Reasonable Accommodation, individuals should provide their personal information, describe their disability, detail the specific accommodation needed, and explain how it enables them to perform their job duties.

What is the purpose of Request for Reasonable Accommodation?

The purpose of a Request for Reasonable Accommodation is to allow employees with disabilities to have equal access to employment opportunities by making necessary adjustments in the workplace or job responsibilities.

What information must be reported on Request for Reasonable Accommodation?

Necessary information typically includes the individual's name, contact information, description of their disability, the requested accommodation, and any supporting documentation that may assist in the review process.