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Accommodation Request Medical Inquiry Form The Office for Access and Equity (OAE) is requesting your assistance in facilitating reasonable accommodation for a University of Illinois employee who has

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How to fill out accommodation request medical inquiry

01

Step 1: Obtain the accommodation request medical inquiry form from the appropriate authority or organization.

02

Step 2: Fill out your personal information such as name, contact information, and any relevant identification numbers.

03

Step 3: Provide a brief description of your medical condition or disability that requires accommodation.

04

Step 4: Specify the type of accommodation you are requesting, such as accessible facilities, modified work schedule, or assistive technology.

05

Step 5: Include any supporting documentation from medical professionals that verifies your condition and the need for accommodation.

06

Step 6: If necessary, obtain additional documentation or letters of support from healthcare providers or specialists.

07

Step 7: Sign and date the accommodation request medical inquiry form.

08

Step 8: Submit the completed form to the designated authority or organization according to their submission instructions.

09

Step 9: Follow up with the authority or organization to confirm receipt of your accommodation request and check the status of your application.

10

Step 10: If approved, work with the authority or organization to implement the requested accommodation.

Who needs accommodation request medical inquiry?

01

Individuals who have a medical condition or disability that requires accommodation in various settings such as workplaces, educational institutions, public facilities, or housing.

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