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FORM CD-575 (REV. 08-10) DAY 215-10 U.S. DEPARTMENT OF COMMERCE REQUEST FOR REASONABLE ACCOMMODATION Please submit this form as soon as possible to the servicing Reasonable Accommodations Coordinator
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How to fill out request for reasonable accommodation

How to fill out a request for reasonable accommodation:
01
Start by carefully reading the organization's policy or guidelines regarding reasonable accommodations. Familiarize yourself with the specific procedure to follow and any forms that need to be completed.
02
Gather all necessary documentation or evidence that supports your need for a reasonable accommodation. This may include medical records, letters from healthcare professionals, or any other relevant documentation.
03
Begin filling out the request form by providing your personal information, such as your name, contact details, and employee or student identification number if applicable.
04
Clearly state the accommodation you are requesting. Be specific and detailed in describing how the accommodation will address your disability or medical condition and allow you to perform your job or fulfill your obligations effectively.
05
If applicable, provide any alternative accommodations that you believe could also meet your needs, in case the primary request is not feasible.
06
Include any supporting documents that help substantiate your request, such as medical records, assessments, or recommendations from healthcare professionals.
07
Be sure to date and sign the request form where indicated, affirming that the information provided is accurate and complete.
08
Once completed, submit the request to the appropriate person or department as specified in the organization's policy or guidelines. Be sure to keep a copy of the form and any supporting documents for your records.
Who needs a request for reasonable accommodation?
01
Employees or job applicants with disabilities who require specific accommodations in order to perform their job duties or participate in the hiring process.
02
Students with disabilities who need accommodations in order to fully participate in educational programs and activities.
03
Individuals who may not have a disability themselves, but are requesting accommodations on behalf of someone else who does have a disability.
Remember, the need for a reasonable accommodation can arise in various contexts, such as employment, education, public services, and housing. It is important to check the specific policies and procedures of the relevant organization or institution to ensure you understand how to make a request for reasonable accommodation in that particular situation.
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What is request for reasonable accommodation?
A request for reasonable accommodation is a formal request made by an individual with a disability to obtain adjustments or modifications in the workplace or in other areas to allow them to perform their job duties or access services and facilities.
Who is required to file request for reasonable accommodation?
Any individual with a disability who requires accommodations to fulfill their job responsibilities or access services and facilities is encouraged to file a request for reasonable accommodation.
How to fill out request for reasonable accommodation?
To fill out a request for reasonable accommodation, one should typically provide information about their disability, the specific accommodations they are seeking, and any supporting documentation or medical evidence. The request should be submitted to the appropriate authority or employer's designated person responsible for accommodation requests.
What is the purpose of request for reasonable accommodation?
The purpose of a request for reasonable accommodation is to ensure that individuals with disabilities have equal opportunities and access to employment, services, and facilities. It aims to remove any barriers that might prevent such individuals from fully participating and performing their job duties.
What information must be reported on request for reasonable accommodation?
A request for reasonable accommodation typically requires the individual to report details about their disability, a description of the requested accommodation, and any supporting documentation or medical evidence that substantiates the need for such accommodation.
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