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DHS13 (E) 06/22/2018 (pagDHS13 (E) 06/22/2018 (page 1 ofDHS13 2) (E)ELF 06/22/2018 (pa REASONABLE ACCOMMODATION REQUEST FORMINSTRUCTIONS: Clients unreasonable complete Section I and submit this form

How to fill out reasonable accommodation request form

How to fill out reasonable accommodation request form

1. Read the instructions carefully before filling out the form.
2. Provide your personal information such as name, contact details, and employee ID.
3. Explain your disability or medical condition that requires reasonable accommodation.
4. Specify the type of accommodation you are requesting, such as modified work schedule or physical modifications to the workplace.
5. Provide any supporting documentation or medical records that can help explain your need for accommodation.
6. Include any alternative solutions or suggestions that can address your needs.
7. Sign and date the form before submitting it to the appropriate person or department.
8. Ensure that you keep a copy of the completed form for your records.

Who needs reasonable accommodation request form?

1. Employees with disabilities or medical conditions that hinder their ability to perform essential job functions effectively and/or safely.
2. Employees who require workplace adjustments or modifications to accommodate their disability or medical condition.
3. Employees who need temporary or permanent modifications to work schedules, duties, equipment, or facilities to fulfill job requirements.

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What is reasonable accommodation request form?

The reasonable accommodation request form is a document used to request accommodations for individuals with disabilities in various settings such as the workplace, housing, or education.

Who is required to file reasonable accommodation request form?

Individuals with disabilities who require accommodations to participate fully in a program or activity may be required to file a reasonable accommodation request form.

How to fill out reasonable accommodation request form?

To fill out a reasonable accommodation request form, one must provide information about their disability, the specific accommodations needed, and any supporting documentation.

What is the purpose of reasonable accommodation request form?

The purpose of the reasonable accommodation request form is to ensure that individuals with disabilities have equal access to opportunities and services by requesting necessary accommodations.

What information must be reported on reasonable accommodation request form?

The information required on a reasonable accommodation request form may include details about the individual's disability, the requested accommodations, and any supporting documentation.