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PREGNANCY OR PREGNANCY RELATED CONDITION ACCOMMODATION REQUEST From The University of Utah is committed to nondiscrimination, diversity and inclusiveness of all individuals. This form is to be used

How to fill out request for pregnancy accommodation

How to fill out request for pregnancy accommodation

1. Step 1: Begin by addressing the request to your immediate supervisor or HR department.
2. Step 2: Clearly state that you are pregnant and require accommodation as per the Pregnancy Discrimination Act.
3. Step 3: Specify the accommodations you are requesting such as altered work hours, modified job duties, or the need for a suitable space for breastfeeding.
4. Step 4: Provide any necessary medical documentation or recommendations from your healthcare provider to support your request.
5. Step 5: Mention any applicable laws or regulations that protect your rights as a pregnant employee.
6. Step 6: Conclude the request by expressing gratitude for their consideration and willingness to discuss further details.
7. Step 7: Keep a copy of the request for your records and follow up if necessary.

Who needs request for pregnancy accommodation?

1. Pregnant employees who require certain accommodations or modifications in their work environment due to the physical limitations or challenges of pregnancy.
2. This may include individuals who need adjustments to their work schedule, job tasks, or access to appropriate facilities for pregnancy-related needs such as breastfeeding or doctor's appointments.

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What is request for pregnancy accommodation?

A request for pregnancy accommodation is an official application made by an employee to their employer seeking adjustments or modifications to their work environment or responsibilities due to the health-related needs arising from pregnancy.

Who is required to file request for pregnancy accommodation?

The employee who is pregnant and requires adjustments to their work conditions to ensure their health and safety, and in some cases, the health and safety of their child, is required to file the request for pregnancy accommodation.

How to fill out request for pregnancy accommodation?

To fill out a request for pregnancy accommodation, an employee typically needs to complete a specific form provided by their employer that outlines their need for accommodations, the nature of their pregnancy-related condition, and any suggestions for modifications to their work environment or duties.

What is the purpose of request for pregnancy accommodation?

The purpose of a request for pregnancy accommodation is to enable a pregnant employee to continue working while ensuring their health and safety are prioritized, allowing for necessary adjustments to their job duties, work hours, or work environment.

What information must be reported on request for pregnancy accommodation?

The information that must be reported on a request for pregnancy accommodation typically includes the employee's personal details, the nature of their pregnancy-related condition, specific accommodations requested, and any relevant medical documentation if required.