
Get the free Request for Reasonable Accommodation. RRB Form G-142
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ROB Form G-142 (11-09) REQUEST FOR REASONABLE ACCOMMODATION (Before completing this form, read Privacy Act Statement and Instructions attached) Section A. Employee/Applicant Information 1. Name 2.
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How to fill out request for reasonable accommodation

How to fill out a request for reasonable accommodation:
01
Start by identifying the reason for the request. Clearly state the specific accommodation needed in order to perform essential job functions or access programs, services, or facilities.
02
Provide relevant supporting documentation, such as medical records or disability assessment from a qualified professional, to substantiate the need for the accommodation.
03
The request should be made in writing and addressed to the appropriate individual or department responsible for handling accommodation requests.
04
Include personal contact information, such as name, phone number, and email address, so that the employer or organization can easily communicate with you regarding the request.
05
Clearly state the preferred method of communication and any accessibility requirements, if applicable.
06
Specify any timeframes or deadlines associated with the request, such as the date by which the accommodation should be made available.
07
Sign and date the request to confirm your authorization and understanding of the process.
08
Keep a copy of the request for your records.
Who needs a request for reasonable accommodation?
01
Employees or job applicants with disabilities who require accommodations to perform essential job functions or participate in company programs or services.
02
Students with disabilities who need accommodations to access educational programs and facilities.
03
Individuals who require accommodations to access public services, such as transportation or government facilities.
04
Anyone with a disability who requires accommodations to participate fully in any aspect of social, recreational, or cultural activities.
05
Individuals who need accommodations in housing to ensure fair and equal access.
Note: The need for a reasonable accommodation can vary based on individual circumstances and legal requirements may differ between jurisdictions. It is important to consult applicable laws and regulations to ensure compliance when requesting reasonable accommodations.
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What is request for reasonable accommodation?
A request for reasonable accommodation is a formal request made by an individual with a disability to make changes or adjustments in the workplace or environment to allow them to perform their job duties.
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 reasonable accommodation request, the individual should provide information about their disability, limitations, and the specific accommodations they are requesting.
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 opportunities in the workplace or environment.
What information must be reported on request for reasonable accommodation?
Information such as the nature of the disability, limitations it imposes, and the requested accommodations must be reported on a request for reasonable accommodation.
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