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Reasonable Modification/Accommodation Request Form
Please complete this form to request a reasonable modification/accommodation of the
Antelope Valley Transit Authorities services. Submit the completed
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How to fill out reasonable modification accommodation request

How to fill out reasonable modification accommodation request
01
To fill out a reasonable modification accommodation request, follow these steps:
02
Start by addressing the request to the appropriate person or department. This could be the landlord, employer, or any other entity responsible for providing the accommodation.
03
Include your personal information such as your name, contact information, and any relevant identification or account numbers.
04
Clearly state the purpose of your request, explaining the specific accommodation you are seeking.
05
Provide detailed information about your disability or medical condition that necessitates the accommodation. Include any supporting documentation or medical records if required.
06
Explain how the requested modification will address your specific needs or alleviate any limitations imposed by your disability.
07
If applicable, suggest any alternative accommodations that may be effective in meeting your needs if the initial request is not feasible.
08
Specify the timeframe or duration for which the reasonable modification accommodation is needed.
09
End the request with a polite closing and your willingness to provide any additional information or documentation if necessary.
10
Keep a copy of the request for your records and consider sending it via certified mail or a delivery method that provides proof of receipt.
Who needs reasonable modification accommodation request?
01
Reasonable modification accommodation requests are typically needed by individuals with disabilities or medical conditions that require certain modifications or adjustments to be made in their living conditions, workplace, or public facilities to ensure equal access or participation.
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What is reasonable modification accommodation request?
A reasonable modification accommodation request is a formal request made by an individual with a disability to make changes or adaptations to policies, practices, or procedures in order to have equal access to programs, services, and activities.
Who is required to file reasonable modification accommodation request?
Any individual with a disability who requires modifications or accommodations to participate fully in programs, services, or activities may file a reasonable modification accommodation request.
How to fill out reasonable modification accommodation request?
To fill out a reasonable modification accommodation request, individuals can typically submit a written request to the entity responsible for the program, service, or activity. The request should include specific details about the requested modifications and how they relate to the individual's disability.
What is the purpose of reasonable modification accommodation request?
The purpose of a reasonable modification accommodation request is to ensure that individuals with disabilities have equal access to programs, services, and activities by requesting necessary modifications or accommodations.
What information must be reported on reasonable modification accommodation request?
A reasonable modification accommodation request should include information regarding the individual's disability, the specific modifications or accommodations being requested, and how those modifications or accommodations are necessary to provide equal access.
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