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Get the free Reasonable Accommodation Request Form - Purdue University - purdue

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CONFIDENTIAL All information shared with the University through the ADA/ADANA evaluation and/or reasonable accommodation process will be maintained separate from personnel files and in accordance
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How to fill out reasonable accommodation request form

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How to fill out a reasonable accommodation request form:

01
Obtain the form: First, you need to obtain the reasonable accommodation request form. This can usually be obtained from your employer, school, or housing provider. If you are unable to find the form, you can inquire about it directly with the entity responsible for providing accommodations.
02
Read the instructions: Once you have the form, take the time to read the instructions carefully. The instructions will guide you on how to properly fill out the form and what information is required.
03
Personal information: Begin by providing your personal information such as your name, contact information, and any identification numbers or relevant identification information that may be requested.
04
Reason for accommodation: Clearly state the reason for your accommodation request. This could be due to a disability, medical condition, or any other valid reason that requires you to request accommodations. Be specific about the type of accommodation you are seeking and how it will assist you in participating fully in the relevant activities or programs.
05
Documentation: In some cases, you may need to provide supporting documentation to validate your need for accommodations. This could include medical records, letters from healthcare professionals, or any other relevant documentation. Ensure that you attach the necessary documentation as required.
06
Signature and date: Sign and date the form to validate your request and indicate that the information provided is accurate and true. Make sure to include the date of submission as well.

Who needs reasonable accommodation request form?

01
Individuals with disabilities: The reasonable accommodation request form is primarily needed by individuals with disabilities. This may include physical, mental, sensory, or cognitive disabilities. By submitting this form, individuals can request adjustments or modifications to the way they are accommodated, allowing them to fully participate in various activities or programs.
02
Employees: Employees who require workplace accommodations due to a disability or medical condition often need to fill out a reasonable accommodation request form. This allows them to request modifications to their work environment, work schedule, or job tasks that will enable them to perform their duties effectively.
03
Students: Students with disabilities may also need to go through the process of filling out a reasonable accommodation request form. This form allows them to request academic adjustments, auxiliary aids, or other necessary accommodations to ensure equal access and participation in their educational institution.
In conclusion, filling out a reasonable accommodation request form involves obtaining the form, carefully reading the instructions, providing personal information, stating the reason for accommodation, attaching supporting documentation if required, and signing and dating the form. This form is necessary for individuals with disabilities, employees, and students who require accommodations to participate fully in various activities or programs.
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Reasonable accommodation request form is a document used by individuals with disabilities to request modifications or adjustments to their job or work environment in order to accommodate their specific needs.
Any employee with a disability who requires accommodations in the workplace is required to file a reasonable accommodation request form.
To fill out a reasonable accommodation request form, the employee must provide their personal information, details of their disability, specific accommodations needed, and any supporting documentation.
The purpose of a reasonable accommodation request form is to ensure that individuals with disabilities have equal access to employment opportunities and are able to perform their job duties effectively.
The information that must be reported on a reasonable accommodation request form includes personal details, disability information, requested accommodations, and any relevant medical documentation.
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