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CONTRA COSTA COMMUNITY COLLEGE DISTRICT REQUEST FOR REASONABLE ACCOMMODATION PREGNANCY AND CHILDBIRTHRELATED Disability you need assistance in completing this form, please contact Reed Rawlinson in
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How to fill out reasonable accommodation - pregnancy

01
Obtain a reasonable accommodation form from your employer or HR department.
02
Fill out your personal information at the top of the form.
03
Clearly state that you are requesting accommodation for pregnancy-related reasons.
04
Specify the accommodations you are requesting, such as more frequent breaks or modified duties.
05
Provide any relevant medical documentation or doctor's notes supporting your request.
06
Submit the completed form to your employer and await their response.

Who needs reasonable accommodation - pregnancy?

01
Pregnant employees who require adjustments to their work environment or duties in order to safely carry out their job responsibilities.
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Reasonable accommodation - pregnancy is a form of modification or adjustment made by an employer to allow pregnant employees to perform their job duties effectively and safely.
Pregnant employees who require modifications or adjustments to their job duties in order to accommodate their pregnancy are required to file for reasonable accommodation.
To fill out reasonable accommodation - pregnancy, the employee should formally request the accommodation from their employer and provide documentation from a healthcare provider if necessary.
The purpose of reasonable accommodation - pregnancy is to ensure that pregnant employees are able to continue working safely and effectively during their pregnancy without facing discrimination or health risks.
Information such as the specific accommodations requested, the medical reasons for the accommodation, and any relevant medical documentation must be reported on reasonable accommodation - pregnancy.
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