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Reasonable Accommodation Request City of American Canyon Community Development Department 4381 Broadway, Suite 201 American Canyon, CA 94503For Office Use Only: Date Received:By:Case Numbers: Approved:Purpose:
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How to fill out reasonable accommodation request for

01
Start by addressing the reasonable accommodation request to the appropriate person or department.
02
Include your personal information, such as name, contact information, and employee or student ID number.
03
Clearly explain the reason why you are requesting reasonable accommodation. Provide any relevant medical or disability documentation if required.
04
Specify the type of accommodation you are requesting and how it will help you perform your job or fulfill your academic duties.
05
Provide any supporting evidence or information that can strengthen your request, such as recommendations from healthcare professionals or previous accommodations granted.
06
Set a deadline for a response or resolution to your request.
07
Proofread the request carefully for any errors or missing information before submitting it.
08
Send the reasonable accommodation request via email or regular mail, following any specific submission instructions provided by your organization or institution.
09
Keep a copy of the request for your records and make sure to follow up if you don't receive a response within the specified timeframe.
10
Be prepared to participate in any discussions or meetings regarding your request and provide any additional information or clarification if requested.

Who needs reasonable accommodation request for?

01
Anyone who has a disability or medical condition that impacts their ability to perform essential job functions or participate fully in academic activities may need to request reasonable accommodation.
02
Reasonable accommodation requests are commonly made by employees, job applicants, students, or individuals participating in programs or services provided by organizations or institutions.
03
Those with physical disabilities, sensory impairments, chronic illnesses, mental health conditions, or other medical conditions may require reasonable accommodations to ensure equal access and opportunities.
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Reasonable accommodation request is for requesting modifications or adjustments to job duties or work environment to accommodate a disability or medical condition.
Any employee with a disability or medical condition that requires accommodation in order to perform essential job functions.
To fill out a reasonable accommodation request, an employee can typically submit a written request to their employer's HR department or designated accommodation coordinator.
The purpose of a reasonable accommodation request is to ensure that employees with disabilities or medical conditions have equal access to job opportunities and can perform essential job functions.
A reasonable accommodation request should include information about the employee's disability or medical condition, how it impacts their job performance, and what specific accommodations are being requested.
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