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MEDICAL EXEMPTION/ACCOMMODATION REQUEST FORM For the COVID-19 Vaccination Requirement To request an exemption/accommodation from Chicago State Universities (the University) employee COVID-19 vaccination

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How to fill out request for accommodation medical

01

Contact the appropriate person at your workplace or school who handles accommodation requests.

02

Provide documentation from a medical professional that specifies the need for accommodation.

03

Clearly state the requested accommodations and how they will help in the documentation.

04

Submit the completed request form along with the medical documentation to the appropriate person.

Who needs request for accommodation medical?

01

Individuals with a qualifying medical condition that requires specific accommodations at work or school.

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What is request for accommodation medical?

A request for accommodation medical is a formal application made by an individual seeking special considerations or adjustments related to their medical condition in a workplace or academic setting.

Who is required to file request for accommodation medical?

Individuals with medical conditions or disabilities who require adjustments or modifications to their work or learning environment are typically required to file a request for accommodation medical.

How to fill out request for accommodation medical?

To fill out a request for accommodation medical, individuals should provide details about their medical condition, specify the accommodations needed, submit supporting medical documentation, and ensure that the form is completed accurately and signed.

What is the purpose of request for accommodation medical?

The purpose of a request for accommodation medical is to ensure that individuals with disabilities or medical conditions are provided with necessary modifications to perform their job or participate in educational programs effectively.

What information must be reported on request for accommodation medical?

Information that must be reported includes the individual's medical condition, specific accommodation requests, relevant medical history, and any supporting documentation from healthcare providers.

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