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REQUEST FOR REASONABLE ACCOMMODATION/MODIFICATION Date of Request: Date of Receipt of Request by Manager: Full Name: Phone: Current Address: Address Requesting Modifications For: POLICY: It is Multisource

How to fill out request for reasonable accommodation

How to fill out request for reasonable accommodation?

1. Begin by clearly stating your name, contact information, and the date at the top of the request form.
2. Introduce yourself and explain your need for a reasonable accommodation. Provide specific details about the nature of your disability or medical condition, and how it affects your ability to perform essential job functions or access certain services.
3. Clearly describe the accommodation you are requesting. Be specific and include any supporting documentation or recommendations from healthcare professionals, if applicable.
4. State the reasons why the requested accommodation is necessary and how it will enable you to perform your job or access services effectively.
5. If applicable, include any relevant work-related information, such as job duties, tasks, or policies that may be impacted by your disability or medical condition.
6. If you have any suggested alternative accommodations or solutions, include them in your request. This shows that you are willing to work with the employer or service provider to find a reasonable solution.
7. Sign and date the request form, and keep a copy for your records.

Who needs request for reasonable accommodation?

1. Individuals with disabilities or medical conditions who require assistance or modifications in order to have equal access to employment opportunities or services.
2. Employees who may need reasonable accommodations in the workplace to perform their job duties effectively and stay in the workforce.
3. Job applicants who require accommodations during the hiring process in order to have a fair opportunity to compete for positions.
4. Students with disabilities who need accommodations in educational settings to ensure equal access to learning opportunities.
5. Patients or individuals who need accommodations in healthcare settings to receive appropriate care and services.

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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 modify or adjust a rule, policy, practice, or service in order to help them perform essential job functions or access benefits.

Who is required to file request for reasonable accommodation?

Any individual with a disability who needs assistance to perform essential job functions or access benefits is required to file a request for reasonable accommodation.

How to fill out request for reasonable accommodation?

To fill out a request for reasonable accommodation, the individual must provide specific details about their disability, explain how it impacts their ability to perform essential job functions, and suggest possible accommodations.

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 in the workplace and are able to perform essential job functions or access benefits.

What information must be reported on request for reasonable accommodation?

The request for reasonable accommodation must include information about the individual's disability, limitations it imposes, proposed accommodations, and any supporting documentation.