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ITEM 13 ATTACHMENT City of Calabasas Public Works Department
Reasonable Modification/Accommodation Request FormCivil Rights Programs Compliance
Please complete this form to request a reasonable modification/accommodation
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How to fill out reasonable modificationaccommodation request form

How to fill out reasonable modificationaccommodation request form
01
Start by downloading the reasonable modification/accommodation request form from the relevant organization's website or request a copy from their office.
02
Read the instructions provided on the form carefully to understand what information needs to be filled out.
03
Begin by entering your personal details such as your name, contact information, and any identification numbers provided by the organization.
04
Specify the reason for your request, making it clear and concise. Provide any supporting documentation or additional information that might be necessary to support your claim.
05
Indicate the type of modification or accommodation you are requesting. Be specific and provide all relevant details that will help the organization understand what you need.
06
If applicable, mention any preferred alternatives or suggestions that could meet your needs in case the requested modification is not possible.
07
Sign and date the form to confirm that the information provided is accurate and complete.
08
Review the completed form to ensure that all required sections are filled out correctly.
09
Submit the form according to the specified instructions, either by mailing it to the provided address or by delivering it in person.
10
Keep a copy of the filled-out form for your records.
11
Remember to contact the organization for any further clarification or assistance with filling out the form.
Who needs reasonable modificationaccommodation request form?
01
Any individual who requires a reasonable modification or accommodation from an organization, such as a government agency, educational institution, housing provider, or employer, may need to fill out a reasonable modification/accommodation request form. This form is typically used by individuals with disabilities or individuals seeking modifications or accommodations due to a specific circumstance or need.
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What is reasonable modification accommodation request form?
The reasonable modification accommodation request form is a document used to request changes or adjustments to policies, practices, or procedures in order to provide equal access and opportunities to individuals with disabilities.
Who is required to file reasonable modification accommodation request form?
Any individual with a disability who requires modifications or accommodations to participate in a program, activity, or service may be required to file a reasonable modification accommodation request form.
How to fill out reasonable modification accommodation request form?
To fill out a reasonable modification accommodation request form, individuals must provide information about their disability, the requested modification or accommodation, and any supporting documentation or evidence.
What is the purpose of reasonable modification accommodation request form?
The purpose of the reasonable modification accommodation request form is to ensure that individuals with disabilities have equal access to programs, activities, and services by requesting necessary modifications or accommodations.
What information must be reported on reasonable modification accommodation request form?
The reasonable modification accommodation request form may require information such as the individual's contact information, description of the requested modification or accommodation, documentation of the disability, and any other relevant details.
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