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Request for Reasonable Accommodations/Modifications To: Accommodation Coordinator Terri Wazowski Newburyport Housing Authority 25 Temple Street Newburyport, MA 01950 978-465-7216 From: Applicant or
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How to fill out request for reasonable accommodation

How to fill out a request for reasonable accommodation:
01
Begin by identifying the reason for requesting a reasonable accommodation. Clearly explain the limitation or disability that requires accommodation.
02
Provide specific details about the accommodation being requested. Be clear and detailed in explaining what accommodations would help alleviate the limitations or barriers caused by the disability.
03
Include any supporting documentation or evidence that may be necessary. This could include medical records, diagnostic reports, or recommendations from healthcare professionals.
04
Clearly state the desired outcome or result of the requested accommodation. Explain how the accommodation would enable equal access and participation in the desired activities or opportunities.
05
Sign and date the request form. Ensure that all contact information, including phone number, email, and address, is provided so that the appropriate individuals can reach out for further information or clarification.
Who needs a request for reasonable accommodation?
01
Individuals with disabilities or limitations that impact their ability to fully participate in activities, access facilities, or perform essential functions of a job.
02
Students with disabilities who require accommodations to access educational programs or services.
03
Employees who require accommodations to perform their job duties effectively.
04
Individuals accessing public services, such as transportation, housing, or government programs, who require accommodations to ensure equal access.
05
Any person who believes they may need accommodations due to a disability should consider submitting a request for reasonable accommodation. It is essential to consult with relevant laws, policies, and guidelines to ensure proper procedures are followed.
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What is request for reasonable accommodation?
A request for reasonable accommodation is a request made by an individual with a disability for changes or modifications in policies, practices, or procedures in order to have equal opportunity in the workplace.
Who is required to file request for reasonable accommodation?
The individual with a disability 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 can typically submit a written request to their employer or human resources department outlining the specific accommodations needed.
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 access to employment opportunities and can perform their job duties effectively.
What information must be reported on request for reasonable accommodation?
The request for reasonable accommodation should include information about the nature of the disability, the specific accommodations requested, and any supporting documentation from a medical professional.
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