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West Virginia State University
REASONABLE ACCOMMODATION REQUEST FORM
A. Questions to clarify accommodation requested.
What specific accommodation are you requesting? If you are not sure what accommodation
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How to fill out reasonable accommodation request form
How to fill out reasonable accommodation request form
01
Obtain the reasonable accommodation request form from your employer or the organization providing the accommodation.
02
Read the instructions and guidelines carefully to understand the requirements and supporting documentation needed.
03
Provide your personal information such as name, contact details, and employee/identification number if applicable.
04
Clearly state the accommodation you are requesting and explain why it is necessary for you to perform essential job functions or participate in programs/activities.
05
Include any relevant medical or psychological information to support your request, if applicable.
06
Specify any proposed alternatives or adjustments that could satisfy your needs if the requested accommodation cannot be provided.
07
Sign and date the form.
08
Submit the completed form along with any supporting documentation to the appropriate person or department as instructed.
Who needs reasonable accommodation request form?
01
Any individual who requires a reasonable accommodation in the workplace or in order to access services, programs, or activities may need to fill out a reasonable accommodation request form.
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What is reasonable accommodation request form?
A reasonable accommodation request form is a document submitted by individuals seeking adjustments or modifications in their work environment or job responsibilities due to a disability or other qualifying situation.
Who is required to file reasonable accommodation request form?
Individuals with disabilities or those requiring modifications to their work environment to perform their job effectively are required to file a reasonable accommodation request form.
How to fill out reasonable accommodation request form?
To fill out a reasonable accommodation request form, provide personal information, describe the nature of the disability or condition, specify the desired accommodations, and submit any supporting documentation if required.
What is the purpose of reasonable accommodation request form?
The purpose of the reasonable accommodation request form is to formally request adjustments that enable individuals with disabilities to perform their job duties effectively without discrimination.
What information must be reported on reasonable accommodation request form?
On the reasonable accommodation request form, individuals must report personal details, the nature of their disability, the accommodations requested, and any relevant medical documentation supporting the request.
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