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Employee Request for Accommodations FormTodays Date: University ID: Name: (First)(Last)Office No.: Preferred Contact No.: (xxxxxxxxxx)(xxxxxxxxxx)Position or Title: Department or School: Office Address:
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How to fill out employee request for accommodations

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How to fill out employee request for accommodations

01
Begin by gathering all the necessary information about the employee, their job position, and the accommodation they are requesting.
02
Fill out the employee request for accommodations form, providing all the required details such as the employee's personal information, job duties, and the specific accommodation being requested.
03
Clearly state the reasons for the accommodation request and provide any supporting documentation if applicable. This could include medical reports, recommendations from healthcare professionals, or any other relevant evidence.
04
Explain how the requested accommodation would enable the employee to perform their job duties effectively and without any barriers. Emphasize the positive impact it would have on their productivity and overall well-being.
05
Include any alternative accommodations that could be considered if the primary request cannot be fully met. This shows flexibility and a willingness to find a solution that suits both the employee and the company.
06
Review the completed form with the employee to ensure accuracy and address any questions or concerns. Obtain their signature and date to confirm their agreement with the information provided.
07
Forward the employee request for accommodations form to the appropriate department or individual responsible for reviewing and approving such requests.
08
Follow up on the request periodically to ensure it is being processed in a timely manner. Communicate with the employee to keep them informed about the progress and final decision regarding their request.
09
Once the request is approved, take necessary actions to implement the accommodation. This may involve making changes to the employee's workspace, providing assistive devices, or modifying work schedules.
10
Continuously monitor the effectiveness of the accommodation and make adjustments if needed. Regularly communicate with the employee to ensure their satisfaction and address any additional needs that may arise.

Who needs employee request for accommodations?

01
Employees who have a disability or medical condition that requires certain accommodations in the workplace.
02
Employees who are experiencing difficulties performing their job duties due to physical or mental impairments.
03
Employees who have undergone medical treatment or surgery and need temporary accommodations during the recovery period.
04
Employees who are pregnant and require certain modifications to their work environment or schedule to ensure their health and safety.
05
Employees who have religious or cultural beliefs that may require accommodations in terms of dress code, working hours, or break times.
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An employee request for accommodations is a formal appeal made by an employee to their employer, seeking modifications or adjustments to the work environment or job responsibilities to enable them to perform their duties effectively, often due to disabilities or specific needs.
Any employee who requires adjustments in their working conditions due to a disability, medical condition, or other qualifying needs is required to file an employee request for accommodations.
To fill out an employee request for accommodations, the employee should complete a designated form provided by the employer, clearly specifying their needs, the nature of their condition, suggested accommodations, and any supporting documentation if necessary.
The purpose of an employee request for accommodations is to ensure that individuals with disabilities or specific needs can work effectively and equitably, enabling them to perform their job responsibilities while maintaining their health and well-being.
The information that must be reported on an employee request for accommodations typically includes the employee's name, job title, nature of the disability or need, specific accommodations requested, and any medical documentation that supports the request.
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