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Reasonable Accommodation/Modification Request Form
AC Transit is fully compliant with the requirements of the ADA. The District is
committed to making reasonable modifications to policies, practices
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How to fill out reasonable modificationaccommodation request form
How to fill out reasonable modificationaccommodation request form
01
Obtain the reasonable modification/accommodation request form from the appropriate authority or organization.
02
Fill out your personal information such as name, address, contact information, and any relevant identification numbers.
03
Clearly state the type of reasonable modification or accommodation you are requesting, providing specific details and explanations as necessary.
04
Describe how the requested modification or accommodation will enable you to have equal access or participation in the desired activity or program.
05
Attach any supporting documentation or medical reports that validate your need for the requested modification or accommodation.
06
Sign and date the form to indicate your consent and understanding of the information provided.
07
Submit the completed form to the appropriate authority or organization as instructed, keeping a copy for your records.
Who needs reasonable modificationaccommodation request form?
01
Anyone who requires a reasonable modification or accommodation in order to have equal access or participation in a particular activity or program needs the reasonable modification/accommodation request form.
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What is reasonable modification accommodation request form?
Reasonable modification accommodation request form is a document used to request adjustments or changes to policies, practices, or procedures in order to accommodate individuals with disabilities.
Who is required to file reasonable modification accommodation request form?
Any individual with a disability who requires accommodations in order to access and participate in programs, activities, or services may be required to file a reasonable modification accommodation request form.
How to fill out reasonable modification accommodation request form?
To fill out a reasonable modification accommodation request form, individuals should provide their personal information, describe their disability, specify the accommodations needed, and explain how those accommodations will enable them to access the programs, activities, or services.
What is the purpose of reasonable modification accommodation request form?
The purpose of reasonable modification accommodation request form is to ensure that individuals with disabilities have equal access to programs, activities, and services by requesting necessary accommodations.
What information must be reported on reasonable modification accommodation request form?
The reasonable modification accommodation request form may require information such as personal details, description of disability, requested accommodations, and how those accommodations will enable access to programs, activities, or services.
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