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LONG BEACH COMMUNITY COLLEGE DISTRICT REASONABLE ACCOMMODATION REQUEST Please complete this form and submit along with the Physicians Statement to the Office of Human ResourcesAssociate Vice President,
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How to fill out hr030-request for reasonable accommodation

01
Obtain a copy of the HR030-Request for Reasonable Accommodation form from your human resources department or download it from the company's intranet.
02
Fill out the personal information section of the form, including your name, employee ID, job title, and department.
03
Describe the nature of your disability or medical condition that requires accommodation in the 'Reason for Request' section. Be specific and provide any supporting documentation if necessary.
04
Indicate the type of accommodation you are seeking by checking the appropriate box(es) and providing additional explanation if needed.
05
If you have any preferred accommodation options, specify them in the 'Preferred Accommodation' section.
06
If you are requesting a medical leave as part of the accommodation, provide the anticipated start and end dates in the 'Leave Requested' section.
07
Sign and date the form.
08
Submit the completed form to your supervisor or the designated HR representative as instructed.
09
Keep a copy of the completed form for your records.

Who needs hr030-request for reasonable accommodation?

01
Any employee who has a disability or medical condition that impacts their ability to perform essential job functions may need to submit an HR030-Request for Reasonable Accommodation.
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HR030 is a formal request process for individuals seeking reasonable accommodations in the workplace due to disability or other qualifying conditions.
Any employee or applicant who requires reasonable accommodations due to a qualifying disability or condition is required to file the HR030 request.
To fill out the HR030 form, provide personal information, describe the nature of the disability, specify the requested accommodations, and include any necessary medical documentation.
The purpose of the HR030 request is to ensure that individuals with disabilities receive necessary modifications or adjustments in the workplace to perform their job effectively.
The HR030 request must include personal identification details, nature of the disability, specific accommodation requests, and any supporting medical documentation.
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