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REASONABLE ACCOMMODATION REQUEST FORM Human Resources (Completed by Employee) EMPLOYEE S NAME: POSITION/STATUS: SUPERVISOR: DEPARTMENT: 1. Please detail the type of accommodation you are requesting:
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How to fill out reasonable accommodation request form

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01
Start by obtaining a reasonable accommodation request form from your employer, school, or organization. This form is typically provided by the human resources department, disability services office, or a designated contact person.
02
Read the instructions carefully to understand the purpose of the form, the required information, and any supporting documentation that needs to be submitted.
03
Begin by providing your personal details, such as your full name, contact information, and any identification numbers or employee/student IDs that may be required.
04
Clearly state the nature of your disability or medical condition that requires a reasonable accommodation. Be specific about how it affects your ability to perform your job or participate in school activities.
05
Describe the specific accommodation(s) you are requesting in detail. This could include adjustments to your work environment, changes in work hours or schedule, modified tasks or equipment, or any other necessary modifications to ensure equal access or participation.
06
If applicable, provide any supporting documentation such as medical records, reports from healthcare professionals, or letters of recommendation that validate your need for accommodation.
07
Sign and date the form, acknowledging that the information provided is true and accurate to the best of your knowledge.
08
Submit the completed form to the designated contact person or department as outlined in the instructions. If unsure, reach out to them for guidance on how to proceed.
09
Keep a copy of the completed form for your records, along with any supporting documents or correspondence related to your request.

Who needs reasonable accommodation request form?

01
Employees with disabilities who require workplace accommodations.
02
Students with disabilities who need academic accommodations in educational institutions.
03
Individuals participating in public programs or services who may need accommodations to fully access and benefit from them.
04
Anyone else who may require reasonable accommodations due to a disability or medical condition in various contexts, such as housing, public transportation, or recreational facilities.
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Reasonable accommodation request form is a document used by individuals with disabilities to request modifications or adjustments to policies, practices, or procedures in order to have equal access to opportunities in the workplace or in educational settings.
Any individual with a disability who requires accommodations to fully participate in work or school activities is required to file a reasonable accommodation request form.
To fill out a reasonable accommodation request form, the individual must provide information about their disability, the requested accommodations, and how those accommodations will enable them to participate fully in work or school activities.
The purpose of a reasonable accommodation request form is to ensure that individuals with disabilities have equal access to opportunities in the workplace or in educational settings by requesting necessary accommodations.
The information required on a reasonable accommodation request form typically includes details about the individual's disability, the requested accommodations, and how those accommodations will enable full participation.
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