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ClearSaveSTATE OF CALIFORNIADEPARTMENT OF GENERAL SERVICES Office of Human ResourcesREQUEST FOR REASONABLE ACCOMMODATION DGS OR 1 (Rev. 09/2019)Employee must complete Parts A, B, and C when requesting
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How to fill out request for reasonable accommodation

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How to fill out request for reasonable accommodation

01
Contact the appropriate authority or department within your organization that handles requests for reasonable accommodations.
02
Request and fill out a reasonable accommodation form, if available. Provide all necessary personal information, such as your name, contact information, and employee ID.
03
Clearly state the nature of your disability and how it affects your ability to perform your job or participate in workplace activities.
04
Identify and describe the specific accommodation(s) you are requesting. Be specific and provide supporting documentation, if available.
05
Explain how the requested accommodation(s) would enable you to perform your essential job functions or participate fully in workplace activities.
06
Submit the completed request form with any supporting documentation to the designated authority or department.
07
Follow up on your request and communicate with the appropriate authority or department to ensure that your request is being processed and reviewed in a timely manner.
08
Cooperate with any additional steps or inquiries that may be necessary to assess and implement the requested accommodation(s).

Who needs request for reasonable accommodation?

01
Individuals with disabilities who require reasonable accommodations in order to perform their job duties or participate fully in workplace activities.
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A request for reasonable accommodation is a request made by an individual with a disability for changes or adjustments in the workplace or other aspects of their environment in order to have an equal opportunity to participate in work-related activities.
An individual with a disability is required to file a request for reasonable accommodation in order to receive the necessary changes or adjustments in the workplace.
To fill out a request for reasonable accommodation, the individual should clearly state their disability, describe the specific changes or adjustments needed, and provide any supporting documentation or evidence.
The purpose of a request for reasonable accommodation is to ensure that individuals with disabilities have equal access to opportunities in the workplace and are able to perform their job duties effectively.
The request for reasonable accommodation should include information about the individual's disability, the specific adjustments needed, any supporting documentation, and contact information for follow-up.
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