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The Washington State Office of Administrative Hearings ADA Accommodation Request Form Personal Information Data Required Date of Request Name: Phone Number: Email: Address: City: State: Zip Code:

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How to fill out request for reasonable accommodation

01

Step 1: Start by addressing the request to the appropriate person or department.

02

Step 2: Clearly state the reason for the request, explaining the specific accommodation you are seeking.

03

Step 3: Provide any supporting documentation or medical records that may be necessary to validate your request.

04

Step 4: Clearly outline the impact of not receiving the accommodation on your ability to perform essential job functions or participate in activities, if applicable.

05

Step 5: Offer any alternative suggestions or accommodations that you believe may be reasonable and would meet your needs.

06

Step 6: Mention any relevant laws or regulations that protect your right to request reasonable accommodation.

07

Step 7: Close the request by expressing your willingness to discuss the matter further and provide contact information for ease of communication.

08

Step 8: Proofread the request and ensure all necessary information is included before submitting it.

Who needs request for reasonable accommodation?

01

Employees or job applicants who have a disability or medical condition that requires accommodations in order to perform essential job functions or participate in activities.

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What is request for reasonable accommodation?

A request for reasonable accommodation is a request made by an individual with a disability to modify or adjust a policy, practice, or procedure so that they can have equal access to opportunities.

Who is required to file request for reasonable accommodation?

An individual with a disability who requires modifications or adjustments to access opportunities.

How to fill out request for reasonable accommodation?

The request for reasonable accommodation can be filled out by providing detailed information about the disability, the needed modifications, and any supporting documentation.

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 and services.

What information must be reported on request for reasonable accommodation?

The request should include information about the disability, the limitations it imposes, the requested accommodations, and any supporting documentation.

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