Get the free ADA ACCOMMODATION REQUEST APPLICATION - Oregon.gov - oregon

For Office Use Only FORM ADA APPROVE: ADA ACCOMMODATION REQUEST APPLICATION DATE: OREGON STATE BOARD OF TAX PRACTITIONERS Phone: (503) 378-4034 3218 Kringle Rd SE, Ste #120 Salem, OR 97302 Fax: (503)

How to fill out ada accommodation request application

How to fill out an ADA accommodation request application:

1. Obtain the ADA accommodation request application form from the appropriate organization or entity. This could be your employer, a school, a government agency, or any other entity that is subject to the Americans with Disabilities Act (ADA).
2. Read the instructions on the application form carefully. Make sure you understand the process and requirements for requesting accommodations under the ADA.
3. Provide your personal information on the application form. This may include your name, contact information, and any identification numbers relevant to your relationship with the organization or entity.
4. Clearly state the nature of your disability or medical condition for which you are seeking accommodations. Be specific and detailed in describing how your disability affects your ability to perform essential job functions or participate in the programs or activities covered by the ADA.
5. Identify the specific accommodations you are requesting. Explain how these accommodations would enable you to fully participate or perform your job duties, and why they are necessary for you to do so.
6. If applicable, provide any supporting documentation related to your disability or medical condition. This may include medical records, letters from healthcare professionals, or assessments from qualified specialists.
7. Sign and date the application form. By doing so, you are certifying that the information you provided is true and accurate to the best of your knowledge.
8. Submit the completed application form and any supporting documentation to the designated individual or department specified on the form. Keep a copy of the application for your records.
9. Follow up with the organization or entity to ensure that your application is received and processed. They may require additional information or documentation, so be prepared to provide any requested materials in a timely manner.
10. Be patient while waiting for a response. The organization or entity will review your application and make a determination regarding your requested accommodations. They should notify you of their decision within a reasonable timeframe.

Who needs an ADA accommodation request application?

1. Employees with disabilities who require workplace accommodations to perform their job duties effectively and safely.
2. Students with disabilities who need accommodations to fully participate in educational programs and activities.
3. Individuals accessing public services or programs provided by government agencies or entities covered by the ADA.
4. Individuals participating in privately-owned and operated businesses, such as restaurants, hotels, or retail stores, that are subject to ADA requirements.
5. Any individual who believes they are entitled to accommodations under the ADA and wishes to exercise their rights.

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