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Employee Request for Accommodation Form Delta College Human Resources Office (989) 686-9042 The purpose of this form is to assist the Human Resources Office in determining whether, or to what extent,
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How to fill out employee request for accommodation
How to fill out an employee request for accommodation?
01
Start by clearly stating your intention to request an accommodation. Be specific about your needs and the reasons behind them.
02
Provide relevant details such as your name, job title, and employee ID number. This helps the HR department identify you and handle your request accordingly.
03
Describe the nature of your disability or medical condition that necessitates the accommodation. Include any supporting documentation or medical records, if available.
04
Clearly state the type of accommodation you are requesting. This could be a physical modification, a change in work schedule, or any other reasonable adjustment that will enable you to perform your job effectively.
05
Explain how the requested accommodation will help you to carry out your job duties or participate in company programs or activities.
06
Specify any time limitations or deadlines that may be relevant to your request. This allows the company to respond in a timely manner, as required by law.
07
Sign and date the request. By doing so, you acknowledge that the information provided is accurate and complete.
Who needs an employee request for accommodation?
01
Employees with disabilities: If you have a disability that affects your ability to perform certain job duties, you may need to submit a request for accommodation. This could include individuals with physical, sensory, mental, or cognitive impairments.
02
Employees with medical conditions: If you have a medical condition that requires special treatment or adjustments in the workplace, you may need to request an accommodation to ensure that you can perform your duties effectively and safely.
03
Pregnant employees: Pregnant workers may require accommodations to protect their health and ensure a safe working environment. These accommodations are typically related to physical exertion, standing or sitting for prolonged periods, lifting heavy objects, or exposure to harmful substances.
In conclusion, employees who have disabilities, medical conditions, or are pregnant may need to fill out an employee request for accommodation form to receive appropriate adjustments in the workplace.
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What is employee request for accommodation?
Employee request for accommodation is a formal request made by an employee to ask for adjustments or modifications in the workplace to accommodate their specific needs or disabilities.
Who is required to file employee request for accommodation?
Any employee who requires accommodations in the workplace due to a disability or other specific needs is required to file an employee request for accommodation.
How to fill out employee request for accommodation?
Employees can fill out the request for accommodation form provided by their employer, detailing the accommodations needed and the reasons for the request.
What is the purpose of employee request for accommodation?
The purpose of employee request for accommodation is to ensure that employees with disabilities or specific needs are provided with the necessary adjustments in the workplace to perform their job effectively.
What information must be reported on employee request for accommodation?
Employee request for accommodation must include information about the employee's specific needs, disabilities, the type of accommodations requested, and any relevant medical documentation.
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