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REHABILITATION ASSISTANCE CORPORATION REQUEST FOR REASONABLE ACCOMMODATION Name: Position: Program: Date: To request reasonable accommodation from Rehabilitation Assistance Corporation (the agency)
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How to fill out request for reasonable accommodation

How to fill out a request for reasonable accommodation:
01
Start by clearly identifying yourself as the person requesting the accommodation. Provide your full name, contact information, and any other relevant details.
02
Next, specify the nature of the accommodation you are seeking. Clearly explain the limitations or difficulties that you are experiencing, and how this is impacting your ability to perform certain tasks or access certain facilities.
03
Provide any supporting documentation or medical evidence that supports your request. This could include letters or reports from healthcare professionals, therapists, or specialists who have diagnosed or assessed your condition.
04
Clearly state the specific accommodation or adjustments you are requesting. Be as detailed as possible, outlining what you believe would effectively address your needs and enable you to fully participate in your work or educational environment.
05
If applicable, suggest any alternative accommodations that you believe could be viable options. This shows that you are willing to work collaboratively with the decision-makers to find a solution that meets both parties' needs.
06
Sign and date your request, and keep a copy for your records. Make sure to submit the request through the appropriate channels and to the designated individual or department responsible for handling accommodation requests.
Who needs a request for reasonable accommodation?
Individuals who believe they require accommodations due to a disability or medical condition can submit a request for reasonable accommodation. This can include employees in the workplace, students in an educational institution, or individuals accessing goods and services in public accommodations.
The need for reasonable accommodation arises when a person's disability or medical condition impacts their ability to perform essential job functions, access educational opportunities, or fully participate in society. By submitting a request, individuals seek to ensure they receive the necessary accommodations to overcome these limitations and have equal opportunities like their peers.
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What is request for reasonable accommodation?
A request for reasonable accommodation is a formal request made by an individual with a disability to modify or adjust aspects of a job, environment, or work schedule to enable them to perform essential job functions.
Who is required to file request for reasonable accommodation?
An individual with a disability who requires a modification or adjustment to access and perform essential job functions is required to file a request for reasonable accommodation.
How to fill out request for reasonable accommodation?
To fill out a request for reasonable accommodation, the individual should provide their basic information, describe their disability, specify the requested accommodation, and explain how the accommodation will enable them to perform essential job functions.
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 employment opportunities and can perform their job duties effectively.
What information must be reported on request for reasonable accommodation?
A request for reasonable accommodation must include the individual's basic information, details about their disability, the requested accommodation, and how the accommodation will enable them to perform essential job functions.
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