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Request for Reasonable Accommodation
1. Case No:Date:Case Name:
2. Name of Person Requesting:
Address:Phone No.:
(Mailing Address)(Area Code, Phone Number)Email:
(City, State, Zip Code)3. I am participating
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How to fill out request for reasonable accommodation

How to fill out request for reasonable accommodation
01
Step 1: Clearly identify yourself and state that you are requesting a reasonable accommodation.
02
Step 2: Provide a detailed explanation of your disability or medical condition that requires the need for accommodation.
03
Step 3: Specify the type of accommodation you are requesting and how it will enable you to perform the essential functions of your job or participate in a program or service.
04
Step 4: Provide any supporting documentation or medical records that substantiate your request.
05
Step 5: Submit your request in writing to the appropriate individual or department, following any specific guidelines or procedures outlined by your organization or institution.
06
Step 6: Be prepared to engage in a discussion or provide additional information if requested.
07
Step 7: Follow up on your request if you do not receive a response within a reasonable timeframe.
Who needs request for reasonable accommodation?
01
Anyone who has a disability or medical condition that affects their ability to perform essential job functions or participate in programs and services may need to request a reasonable accommodation.
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What is request for reasonable accommodation?
Reasonable accommodation is a request made by an individual with a disability to modify aspects of a job or work environment in order to allow them to perform essential job functions.
Who is required to file request for reasonable accommodation?
Any individual with a disability who needs accommodations to perform essential job functions is required to file a request for reasonable accommodation.
How to fill out request for reasonable accommodation?
To fill out a request for reasonable accommodation, the individual must provide information about their disability, the specific accommodations needed, and how these accommodations will enable them to perform their job duties.
What is the purpose of request for reasonable accommodation?
The purpose of a request for reasonable accommodation is to ensure that individuals with disabilities have equal opportunities in the workplace by receiving the necessary accommodations to perform job duties.
What information must be reported on request for reasonable accommodation?
The request for reasonable accommodation must include information about the disability, the specific accommodations needed, and how these accommodations will enable the individual to perform essential job functions.
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