Get the free Disability Access Accommodation Request Form - ohsu

Public Event Disability Access Accommodation Request Form Event attendees with qualified disabilities may use this form to request a reasonable accommodation for an OHSU sponsored event. Rev. 11/06 Page 1 of 2 How long have you experienced this condition or limitation Is it a permanent or temporary condition Signature of Person Requesting Public Access Accommodation Date Mail fax or send this form by email to the department contact person sponsor...

How to fill out disability access accommodation request

How to fill out Disability Access Accommodation Request Form

1. Obtain the Disability Access Accommodation Request Form from the appropriate authority.
2. Fill in your personal details, including name, contact information, and any relevant identification numbers.
3. Specify the disability or condition requiring accommodation.
4. Describe the specific accommodations you are requesting.
5. Provide documentation or proof of your disability, if required.
6. Review the form for completeness and accuracy.
7. Submit the completed form to the designated office or individual.

Who needs Disability Access Accommodation Request Form?

1. Individuals with disabilities seeking modifications or support to access services or environments.
2. Students requiring accommodations in educational settings.
3. Employees needing adjustments in the workplace for their disabilities.

People Also Ask about

What is an example of an accommodation request?

Example A: An employee tells her supervisor, "I'm having trouble getting to work at my scheduled starting time because of medical treatments I'm undergoing." This is a request for a reasonable accommodation.

How do I write an accommodation letter for disability?

Content to consider in body of letter: Identify yourself as a person with a disability. State that you are requesting accommodations under the ADA (or the Rehabilitation Act of 1973 if you are a federal employee) Identify your specific problematic job tasks. Identify your accommodation ideas.

How to fill out a Request for reasonable accommodation form?

In your reasonable accommodation letter, you should provide all the information your employer will need to begin the accommodation process, including what your disability is, how it affects you, which aspects of your job might require modification, and proposed accommodations.

What are the most common accommodations?

Commonly Utilized Accommodations Electronic copies of notes, handouts, overheads, or chalkboard notes. Use of a scribe or note taker. Seating locations (close to the chalkboard or screen) Tape-recorded lectures. Taped textbooks. Alternate test format: oral, Braille, or large print.

What is a good example of accommodation?

Example 2: One classic example of accommodation involves a child who understands that a four-legged creature is called a dog. Then, the child encounters a cat and refers to it as a dog until corrected by a parent. After being corrected, the child can distinguish between a dog and a cat.

How do you write a letter requesting for accommodation?

TEMPLATE: Accommodation Request Letter for Living Space Dear [Landlord's Name], I have been residing at [Address/Building Name], Unit [Number], since [Date]. I'm writing to request [an accommodation/certain accommodations] for my living space due to my Multiple Chemical Sensitivity (MCS).

How do I ask for accessibility accommodations?

ing to the EEOC, you only have to let your employer know that you need an adjustment or change at work for a reason related to a medical condition. You can use "plain English" to make your request and you do not have to mention the ADA or use the phrase "reasonable accommodation."

What is an example of a disability accommodation letter?

I am experiencing the following difficulties in performing my job because of my disability: __. I am writing to request that you _ (state requested accommodation) because it will (how it will help you do your job) as a reasonable accommodation.

What is an example of a reasonable accommodation request?

Examples of reasonable accommodations include providing interpreters, readers, or other personal assistance; modifying job duties; restructuring work sites; providing flexible work schedules or work sites (i.e. telework) and providing accessible technology or other workplace adaptive equipment.

How to write a request for accommodation?

Employer Address Dear (Employer name), I have worked for you for (years/months/days) as a (job title). I am a qualified individual with a disability. By this I mean, I have a medical condition and I can perform the essential functions of (job title) with a reasonable accommodation.

For pdfFiller’s FAQs

What is Disability Access Accommodation Request Form?

The Disability Access Accommodation Request Form is a document that allows individuals with disabilities to formally request accommodations and modifications to policies, practices, or facilities to ensure equal access.

Who is required to file Disability Access Accommodation Request Form?

Individuals with disabilities who need specific accommodations to participate in programs, activities, or services are required to file this form.

How to fill out Disability Access Accommodation Request Form?

To fill out the form, individuals must provide personal information, details about the disability, the specific accommodation being requested, and any necessary medical documentation supporting the request.

What is the purpose of Disability Access Accommodation Request Form?

The purpose of the form is to ensure that individuals with disabilities can communicate their needs effectively and receive the necessary accommodations to allow for equal participation.

What information must be reported on Disability Access Accommodation Request Form?

The form typically requires personal details such as the individual's name, contact information, nature of the disability, description of the requested accommodations, and signatures where necessary.