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New York State Office of Addiction Services and SupportsApplication to Request Reasonable Accommodation of a Disability or PregnancyRelated Condition (HRM76) Application for reasonable accommodation
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How to fill out application to request reasonable
How to fill out application to request reasonable
01
Start by opening the application form for requesting reasonable accommodation.
02
Read the instructions carefully to understand the eligibility criteria and required documentation.
03
Fill out your personal details such as name, contact information, and employee ID (if applicable).
04
Clearly state the nature of your disability or medical condition that requires reasonable accommodation.
05
Specify the type of accommodation you are requesting, such as modified work schedule, assistive devices, or physical workplace adaptations.
06
Provide any supporting documentation from healthcare professionals or specialists that validate your need for accommodation.
07
Describe the specific limitations or challenges you face in performing your job duties without accommodation.
08
If applicable, suggest potential accommodations that you believe would enable you to perform your job effectively.
09
Sign and date the application form.
10
Submit the completed application along with any additional documents required by your employer's HR department or designated contact person.
11
Keep a copy of the application for your records and follow up with the HR department to ensure your application is received and processed.
Who needs application to request reasonable?
01
Employees with disabilities or medical conditions that affect their ability to perform essential job functions efficiently.
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What is application to request reasonable?
The application to request reasonable is a formal request made to ask for something that is considered fair and appropriate.
Who is required to file application to request reasonable?
Anyone who feels they have a valid reason for requesting something fair and appropriate is required to file an application to request reasonable.
How to fill out application to request reasonable?
To fill out an application to request reasonable, one must provide detailed information about why the request is being made and any supporting documentation.
What is the purpose of application to request reasonable?
The purpose of an application to request reasonable is to formalize a request for something fair and appropriate, such as an accommodation or adjustment.
What information must be reported on application to request reasonable?
The information reported on an application to request reasonable may include the reason for the request, any relevant background information, and any supporting documentation.
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