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Get the free ADA Accommodation Request Form - hr nku

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This form is used by employees of Northern Kentucky University to request accommodations under the Americans with Disabilities Act (ADA) and the ADA Amendments Act (ADAAA). It collects information
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How to fill out ada accommodation request form

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How to fill out ADA Accommodation Request Form

01
Obtain the ADA Accommodation Request Form from your employer or the HR department.
02
Fill in your personal information, including your name, address, phone number, and email.
03
Clearly describe your disability and how it affects your ability to perform your job.
04
List the specific accommodations you are requesting to assist you in your job.
05
Provide any relevant medical documentation that supports your accommodation request.
06
Review the completed form to ensure all information is accurate and complete.
07
Submit the form to the appropriate contact person or HR department for review.

Who needs ADA Accommodation Request Form?

01
Employees who have a disability as defined by the ADA and require adjustments to their workplace or duties to perform effectively.
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Unlike some other federal laws, the Americans with Disabilities Act (ADA) does not require employers to use standardized forms for ADA-related employment actions. However employers sometimes find it helpful to develop forms for consistency and efficiency.
Content to consider in body of letter: Identify yourself as a person with a disability. State that you are requesting accommodations under the ADA (or the Rehabilitation Act of 1973 if you are a federal employee) Identify your specific problematic job tasks. Identify your accommodation ideas.
In general, to be entitled to an accommodation under the ADA, you must work for an employer with 15 or more employees (or a state or local government), you must be a person with a disability as defined in the ADA, and you must need the accommodation because of your disability.
There is no need to mention the ADA or use the phrase “reasonable accommodation.” Requests for reasonable accommodation do not have to be in writing and can be requested in a face-to-face conversation or using any other method of communication.
Content to consider in body of letter: Identify yourself as a person with a disability. State that you are requesting accommodations under the ADA (or the Rehabilitation Act of 1973 if you are a federal employee) Identify your specific problematic job tasks. Identify your accommodation ideas.

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The ADA Accommodation Request Form is a document used by individuals to request accommodations under the Americans with Disabilities Act (ADA) to ensure they have equal access to services, programs, and employment.
Individuals who have a disability as defined by the ADA and require modifications or adjustments to their work environment or job duties are required to file the ADA Accommodation Request Form.
To fill out the ADA Accommodation Request Form, individuals should provide their personal information, details about their disability, specific accommodations requested, and any supporting documentation from healthcare professionals if necessary.
The purpose of the ADA Accommodation Request Form is to facilitate the process of requesting reasonable accommodations, allowing individuals with disabilities to participate fully and equitably in their work or academic environments.
Information that must be reported on the ADA Accommodation Request Form includes the individual's name, contact information, the nature of the disability, the specific accommodations being requested, and any relevant medical documentation to support the request.
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