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REQUEST FOR ACCOMMODATION/MODIFICATION FORM
Use this form if you have a disability and would like to make a modification to the residence or common
areas or to request accommodation to otherwise applicable
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How to fill out 1 brequestb for accommodationbmodification

How to Fill Out a Request for Accommodation Modification:
Start by accessing the request form:
01
Visit the website of the organization or institution responsible for handling accommodation modifications.
02
Look for a specific section or page dedicated to accommodation requests.
03
Download the request form or access it online.
Provide your personal information:
01
Fill in your name, address, phone number, and email address.
02
Include any relevant identification or reference numbers, such as an employee number or student ID.
Specify the type of accommodation modification needed:
01
Clearly state the specific accommodation modification you are requesting.
02
Explain the reason for the modification and how it will assist you.
Provide supporting documentation:
01
Attach any necessary documents to support your request.
02
This may include medical records, therapist reports, or any other relevant documentation.
Include a detailed description:
01
Describe the limitations or challenges you experience that require accommodation modification.
02
Explain how the requested modification will address those challenges.
Mention any previous accommodations:
01
If you have received accommodation modifications in the past, indicate their effectiveness.
02
Discuss whether the previous accommodations are still suitable or if new modifications are necessary.
State the desired timeline:
01
Specify when you would like the accommodation modification to be implemented.
02
Consider any upcoming deadlines, such as the start of a new semester or a specific work project.
Sign and date the request form:
01
Verify that all the information provided is accurate and complete.
02
Sign and date the request form to indicate your agreement with the information provided.
Who needs a Request for Accommodation Modification?
Individuals with disabilities:
01
People with physical disabilities who require accessible facilities or equipment modifications.
02
Individuals with sensory impairments who need specialized technology or communication accommodations.
03
Those with cognitive or mental health conditions who may need specific accommodations in the learning or work environment.
Students requesting educational accommodations:
01
Students with disabilities who require adaptations in the classroom, such as extra time for exams or the use of assistive technology.
02
Those needing accessibility modifications in school facilities, such as ramps, elevators, or accessible toilets.
Employees seeking workplace accommodations:
01
Individuals with disabilities who require modifications in their work area, such as adjustable desks, ergonomic chairs, or screen magnifiers.
02
Employees who need schedule flexibility or job restructuring accommodations due to limitations caused by disabilities.
Conclusion:
Filling out a request for accommodation modification involves providing personal information, specifying the modification needed, submitting supporting documentation, describing limitations, mentioning previous accommodations, stating the desired timeline, and signing the form. These requests are typically needed by individuals with disabilities or those requiring educational or workplace accommodations.
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What is 1 request for accommodation modification?
A request for accommodation modification is a formal appeal for changes to a certain living or working environment to accommodate specific needs or disabilities.
Who is required to file 1 request for accommodation modification?
Individuals who require specific accommodations due to disability or other needs are required to file a request for accommodation modification.
How to fill out 1 request for accommodation modification?
To fill out a request for accommodation modification, individuals need to provide detailed information about their needs, the accommodations requested, and any supporting documentation.
What is the purpose of 1 request for accommodation modification?
The purpose of a request for accommodation modification is to ensure that individuals with disabilities or specific needs are provided with necessary accommodations in their living or working environment.
What information must be reported on 1 request for accommodation modification?
Information that must be reported on a request for accommodation modification includes details about the individual's needs, the requested accommodations, and any relevant supporting documentation.
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