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Get the free Accommodation Request Form for employees - UMaine

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Last NameCOVID19 Accommodation Request Form First NameEMPLIDDepartmentJob TitleCampus AddressWork PhoneEMailSupervisor Name have a disability, defined by the ADA as a physical or mental impairment that
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How to fill out accommodation request form for

01
Start by downloading the accommodation request form from the official website.
02
Read the instructions provided along with the form carefully.
03
Fill out your personal details, including your name, contact information, and any identification numbers required.
04
Specify the type of accommodation you are requesting and provide any necessary details or documentation supporting your request.
05
If applicable, indicate any specific dates or duration for which the accommodation is required.
06
Provide additional information or special requests, if any.
07
Double-check all the filled information for accuracy and completeness.
08
Sign and date the form at the designated space.
09
Submit the completed form via the designated method mentioned in the instructions.
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Keep a copy of the form for your records.

Who needs accommodation request form for?

01
Anyone who requires accommodation assistance can fill out the accommodation request form. This form is typically used by individuals with disabilities, medical conditions, or specific needs that require special arrangements or modifications.
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The accommodation request form is used to formally request adjustments or modifications to policies or practices in order to meet the needs of individuals with disabilities or other specific requirements.
Individuals seeking accommodations due to a disability or specific personal circumstances are required to file the accommodation request form.
To fill out the accommodation request form, an individual should provide their personal details, outline the specific accommodations requested, explain how the accommodations would assist them, and include any necessary documentation supporting their request.
The purpose of the accommodation request form is to ensure that individuals can clearly communicate their needs and that the organization can evaluate and respond appropriately to those needs.
The information reported on the accommodation request form typically includes the individual's name, contact information, description of the disability or need, the specific accommodations being requested, and any supporting documentation.
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