Get the free Intake and Request for Accommodation Form - alliant
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This form is designed for individuals seeking accommodations due to disabilities within an educational setting at Alliant. It collects personal information, disability details, and accommodation requests
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How to fill out intake and request for
How to fill out Intake and Request for Accommodation Form
01
Gather all necessary personal information, including your name, contact details, and any relevant identification.
02
Read through the instructions provided with the form to understand the requirements.
03
Fill out the 'Intake' section by providing details about your current situation and any specific challenges you face.
04
In the 'Request for Accommodation' section, clearly outline the accommodations you need and the reasons for these requests.
05
Review your responses to ensure clarity and completeness.
06
Submit the form to the appropriate office or individual as directed in the instructions.
Who needs Intake and Request for Accommodation Form?
01
Individuals with disabilities seeking specific accommodations or modifications in their environment.
02
Students requiring academic accommodations due to learning disabilities or medical conditions.
03
Employees who need adjustments in the workplace to perform their job duties effectively.
04
Anyone who feels they need assistance due to personal circumstances that affect their participation in programs or services.
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People Also Ask about
What is a form of accommodation?
Examples of reasonable accommodations include making existing facilities accessible; job restructuring; part-time or modified work schedules; acquiring or modifying equipment; changing tests, training materials, or policies; and providing qualified readers or interpreters.
How do I write a request for accommodation?
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.
What is an example of an accommodation statement?
Abbreviated Reasonable Accommodation Statement To be used when space is limited: Anyone with a disability who would like to request accommodations or who has questions about physical access may contact [insert email and telephone number of the program/event sponsor] in advance of the program or visit.
How do I ask 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.
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What is Intake and Request for Accommodation Form?
The Intake and Request for Accommodation Form is a document used to formally request accommodations for individuals who may have disabilities or specific needs that require assistance in a particular setting, such as in education or the workplace.
Who is required to file Intake and Request for Accommodation Form?
Individuals who need accommodations due to a disability, health condition, or other specific needs are required to file the Intake and Request for Accommodation Form.
How to fill out Intake and Request for Accommodation Form?
To fill out the Intake and Request for Accommodation Form, provide personal information, describe the nature of the disability or need, specify the accommodations requested, and submit any necessary documentation to support the request.
What is the purpose of Intake and Request for Accommodation Form?
The purpose of the Intake and Request for Accommodation Form is to ensure that individuals are able to communicate their needs effectively and receive the necessary support and accommodations to participate fully in their environment.
What information must be reported on Intake and Request for Accommodation Form?
The information that must be reported on the Intake and Request for Accommodation Form includes personal identification details, a description of the disability or condition, specific accommodation requests, and any relevant supporting documentation or evidence.
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