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FLORIDA DEPARTMENT OF CORRECTIONS
REASONABLE MODIFICATION OR ACCOMMODATION REQUEST
FOR INMATESRequest Form to Access the Departments Services, Programs or Activities
This form is to request a specific
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How to fill out reasonable modification or accommodation

How to fill out reasonable modification or accommodation
01
To fill out a reasonable modification or accommodation request, follow these steps:
02
Start with a clear and concise statement of your request. Explain the specific modification or accommodation you are seeking.
03
Provide a detailed description of your disability or medical condition. Include any relevant medical documentation, such as doctor's notes or medical reports, to support your request.
04
Describe how your disability or medical condition affects your ability to perform specific tasks or participate in certain activities. Be specific and provide examples if possible.
05
Identify the specific changes or adjustments you are requesting. Clearly explain why these modifications are necessary for you to have equal access or opportunity.
06
Support your request with any applicable laws or regulations that protect individuals with disabilities, such as the Americans with Disabilities Act (ADA) or Section 504 of the Rehabilitation Act.
07
Include your contact information, including your name, address, phone number, and email address. This will allow the recipient to reach out to you if they need additional information or clarification.
08
Sign and date the request to certify its authenticity and completeness.
09
Keep a copy of the completed request for your records.
10
Remember to submit your request to the appropriate individual or organization responsible for addressing reasonable modification or accommodation requests.
11
Professional legal advice may be helpful in preparing and submitting your request, especially if you encounter any challenges or difficulties.
Who needs reasonable modification or accommodation?
01
Anyone with a disability or medical condition that substantially limits one or more major life activities may need reasonable modification or accommodation.
02
This may include individuals with physical disabilities, sensory disabilities, cognitive disabilities, mental health conditions, chronic illnesses, or temporary impairments.
03
Reasonable modification or accommodation helps ensure that individuals with disabilities have equal access and opportunities in various areas, such as employment, education, housing, public facilities, transportation, and services.
04
Each situation is unique, and the need for reasonable modification or accommodation may vary depending on the individual's specific circumstances and the barriers they encounter.
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What is reasonable modification or accommodation?
Reasonable modification or accommodation is a change, adjustment, or alteration to a policy, program, or service that allows a person with a disability to have equal access and opportunity.
Who is required to file reasonable modification or accommodation?
Any individual with a disability who requires a modification or accommodation to participate fully in a program, service, or activity.
How to fill out reasonable modification or accommodation?
To request a reasonable modification or accommodation, individuals can usually fill out a form provided by the organization or service provider, or submit a written request outlining the specific modification needed.
What is the purpose of reasonable modification or accommodation?
The purpose of reasonable modification or accommodation is to ensure that individuals with disabilities have equal access and opportunity to participate in programs, services, or activities.
What information must be reported on reasonable modification or accommodation?
Information that must be reported on reasonable modification or accommodation typically includes the specific accommodation requested, the reason it is needed, and any supporting documentation or information.
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