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This document is an application form for requesting pre-job accommodations under the Department of Labor and Industries, aimed at assisting workers with state fund claims for necessary equipment related
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How to fill out pre-job accommodation assistance application

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How to fill out Pre-Job Accommodation Assistance Application

01
Begin by downloading the Pre-Job Accommodation Assistance Application form from the official website.
02
Carefully read the instructions provided on the form to understand the requirements.
03
Fill in your personal information, including your name, address, and contact details.
04
Provide information about your current employment status and the job you are applying for.
05
Describe the specific accommodations you are requesting and how they will assist you in performing your job.
06
Attach any required documentation, such as medical records or letters from healthcare providers that support your request.
07
Review the completed application to ensure all fields are filled out accurately and clearly.
08
Submit the application via email or postal mail to the designated office as specified in the instructions.

Who needs Pre-Job Accommodation Assistance Application?

01
Individuals with disabilities seeking assistance to secure a job.
02
Job seekers who require specific accommodations to perform their job tasks effectively.
03
Candidates who may need adjustments in the workplace due to medical conditions or disabilities.
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The Pre-Job Accommodation Assistance Application is a form used to request assistance for specific accommodations needed for individuals in a work environment, aimed at ensuring that they can perform their job duties effectively.
Individuals who require specific accommodations due to disabilities or special needs in order to perform their job functions are required to file the Pre-Job Accommodation Assistance Application.
To fill out the Pre-Job Accommodation Assistance Application, individuals should provide their personal information, describe their specific accommodation needs, explain how these accommodations will assist them in their job performance, and submit any required documentation.
The purpose of the Pre-Job Accommodation Assistance Application is to streamline the process of requesting necessary accommodations, ensuring that individuals receive the support they need to succeed in their job roles.
The information that must be reported includes the applicant's contact details, a description of the disability or condition requiring accommodation, the specific accommodations requested, and any supporting documentation or recommendations from medical professionals.
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