Get the free Request for Accommodations Form (pdf) - Ultimate Medical Academy
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Request for Accommodations Please complete this document if you are requesting accommodations for your educational program at UMA. Please remember that any information you provide is strictly voluntary.
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How to fill out request for accommodations form
How to fill out a request for accommodations form:
01
Start by clearly identifying yourself and providing your contact information. This includes your name, address, phone number, and email address.
02
Specify the type of accommodation you are requesting. This could be related to a disability, medical condition, or any other specific need that requires reasonable accommodations.
03
Describe the specific accommodations you are requesting in detail. Be clear and specific about what you need and how it will help you overcome any barriers or challenges you may face.
04
Include any supporting documentation or medical records that validate your request for accommodations. This could include letters from healthcare professionals, therapists, or specialists who can attest to your need for these accommodations.
05
State the duration for which you are requesting accommodations. This could be a specific period of time or ongoing until further notice. Be sure to include any dates or timelines for starting and ending the accommodations if applicable.
06
Provide any additional information or details that may be relevant to your request. This could include any relevant history, experiences, or circumstances that further support your need for accommodations.
07
Sign and date the form to acknowledge that the information provided is accurate and true to the best of your knowledge.
Who needs a request for accommodations form?
01
Individuals with disabilities who require reasonable accommodations to participate in various activities or programs.
02
Employees who need accommodations to perform their job duties effectively and without discrimination.
03
Students who require accommodations to access educational facilities, programs, or resources on an equal basis with their peers.
04
People with medical conditions or limitations that may require adjustments or modifications in their living arrangements, transportation, or other aspects of daily life.
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