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MEDICAL AUTHORIZATION AND RELEASE
TO WHOM IT MAY CONCERN:
Pursuant to my request for reasonable accommodation under the Americans with
Disabilities Act and the Fair Employment and Housing Act, my
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What is pursuant to my request?
Pursuant to your request means in accordance with or following your request.
Who is required to file pursuant to my request?
The individual or entity specified in the request is required to file pursuant to your request.
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To fill out pursuant to your request, follow the instructions provided in the request document.
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The purpose of pursuant to your request is to provide the requested information or take action as per the request.
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The specific information or details requested in the document must be reported on pursuant to your request.
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