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MEDICAL INQUIRY FORM FOR TEMPORARY ACCOMMODATION REQUESTS DUE TO PREGNANCY (To be completed by Health Care Provider) RETURN COMPLETED FORM TO: EEO Office, 6901 Charles Street, Building B, Towson,
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How to Fill Out Temporary Accommodation Requests:

01
Begin by providing your personal information, such as your name, contact details, and any identification numbers required.
02
Specify the dates for which you require temporary accommodation, including the check-in and check-out dates.
03
Indicate the reason for your temporary accommodation request. This could be due to renovations at your current residence, relocation, emergency situations, or any other valid reason.
04
Provide additional details about your situation, if necessary. This may include the number of people requiring accommodation, any special requirements or preferences, and any specific housing needs.
05
If you have any supporting documents, such as a letter from your employer or a medical certificate, attach them to your request to strengthen your case.
06
Clearly mention any specific location preferences or constraints that need to be taken into account while assigning your temporary accommodation.
07
If you anticipate the need for an extended stay, explicitly state the duration for which you require accommodation, including any possible extensions.
08
Sign and date the request form after carefully reviewing all the information provided.
09
Submit the completed request to the appropriate authority or department responsible for handling temporary accommodation requests.

Who needs Temporary Accommodation Requests?

01
Individuals or families going through home renovations or repairs that render their current residence uninhabitable.
02
Individuals or families who have recently relocated and need temporary accommodation until they find a permanent home.
03
Individuals or families who have been displaced due to natural disasters, such as floods, fires, or severe weather conditions.
04
Victims of domestic violence or other unforeseen circumstances that make their current housing situation unsafe or insecure.
05
Individuals or families who are temporarily residing in a different city or country for work, education, or other purposes and need a place to stay during their visit.
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Temporary accommodation requests are requests made by individuals or organizations for short-term lodging or housing.
Anyone in need of temporary lodging or housing can file for temporary accommodation requests.
To fill out temporary accommodation requests, one must provide personal information, details of the accommodation needed, and the duration of stay.
The purpose of temporary accommodation requests is to provide individuals or organizations with a place to stay for a short period of time.
The information required on temporary accommodation requests includes personal details, contact information, accommodation preferences, and duration of stay.
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2016 EEO ies Towson Disabilities Interacting MD advisable ACCOMMODATION Physicians Provider medically Accommodations Tasks contributed

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