Get the free Lactation Accommodation Request Form (1)
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5717 Corbett Hall
Front, Maine 044695703
Fax: 2075811548
Tel: 2075811581
umaine.edu/hrOffice of Human ResourcesLactation Accommodation Request Form
In accordance with UMS Lactation Accommodation Policy
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How to fill out lactation accommodation request form
How to fill out lactation accommodation request form
01
Step 1: Obtain a lactation accommodation request form from your employer or human resources department.
02
Step 2: Read the instructions provided with the form carefully to understand the necessary information and documentation needed.
03
Step 3: Fill out your personal details on the form such as your name, employee ID, department, and contact information.
04
Step 4: Indicate the date you will need the lactation accommodation to start and provide the expected duration.
05
Step 5: Specify the type of lactation accommodation you require, such as a private room, access to a refrigerator for storing breast milk, or flexible break times.
06
Step 6: If necessary, provide additional information or specific requests in the designated space.
07
Step 7: Sign and date the form to validate your request.
08
Step 8: Submit the completed form to the appropriate person or department as specified in the instructions.
09
Step 9: Keep a copy of the submitted form for your records.
10
Step 10: Follow up with your employer or human resources department to ensure that your request is processed and proper accommodations are made.
Who needs lactation accommodation request form?
01
Any nursing mother who is an employee and requires lactation accommodations at their workplace needs a lactation accommodation request form.
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What is lactation accommodation request form?
The lactation accommodation request form is a document that allows individuals to formally request the provision of reasonable accommodations for lactation in the workplace or educational settings.
Who is required to file lactation accommodation request form?
Individuals who require lactation accommodations, such as breastfeeding mothers returning to work or school, are typically required to file the lactation accommodation request form.
How to fill out lactation accommodation request form?
To fill out the lactation accommodation request form, you generally need to provide personal information, specify the type of accommodation needed, and possibly include a doctor's note verifying the need for lactation support.
What is the purpose of lactation accommodation request form?
The purpose of the lactation accommodation request form is to officially communicate the need for lactation accommodations and ensure that appropriate measures are taken to support breastfeeding individuals in the workplace or educational environment.
What information must be reported on lactation accommodation request form?
The information that must be reported on the lactation accommodation request form typically includes the requester's name, contact information, the nature of the accommodation requested, and any relevant medical documentation.
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