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Employee Accommodation Request: Medical Information Form Office of Equity and Inclusion Kristie Rank Interim Director of Equity & Inclusion Interim Section 504/ADA Title II Coordinator Phone: (937)
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How to fill out employee accommodation request

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How to fill out employee accommodation request

01
Step 1: Obtain the employee accommodation request form from the HR department.
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Step 2: Read the instructions and guidelines provided on the form carefully.
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Step 3: Fill in your personal information, including your full name, employee ID, and contact details.
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Step 4: Specify the dates for which you require accommodation.
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Step 5: Provide details about the type of accommodation needed, such as single room, shared apartment, or hotel.
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Step 6: Indicate any specific preferences or requirements you have regarding the accommodation, such as proximity to the workplace or accessibility features.
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Step 7: If applicable, mention any additional amenities or services you may need, such as Wi-Fi, parking, or laundry facilities.
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Step 8: Review the form for completeness and accuracy before submitting it.
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Step 9: Sign and date the form.
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Step 10: Submit the completed employee accommodation request form to the HR department or the designated submission point.

Who needs employee accommodation request?

01
Employees who require accommodation during a business trip or an assignment away from their usual location.
02
Employees who are temporarily relocating for work purposes and need a place to stay.
03
Employees who have specific accommodation needs due to medical, accessibility, or personal reasons.
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Employee accommodation request is a formal request made by an employee to their employer for special accommodations based on a specific need or disability.
Any employee who requires special accommodations due to a disability or specific need is required to file an employee accommodation request.
An employee can fill out an accommodation request form provided by their employer, detailing the specific accommodations needed and any supporting documentation.
The purpose of employee accommodation request is to ensure that employees with disabilities or specific needs are provided with necessary accommodations to perform their job duties effectively.
Employee accommodation request must include details of the specific accommodations needed, supporting documentation from a healthcare provider if applicable, and any other relevant information.
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