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Get the free Reasonable Accommodation Request form - TucsonAZ.gov

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Reasonable Accommodation Request Form Date: ___ Head of Household Name: ___ Phone: ___ Address: ___ Zip: ___ PO Box or Street City/Town The following member of my household has a disability: ___ Please
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How to fill out reasonable accommodation request form

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How to fill out reasonable accommodation request form

01
Obtain a reasonable accommodation request form from the appropriate department or office.
02
Fill out your personal information such as name, contact information, employee ID number, and department.
03
Describe the accommodation you are requesting in detail, including how it will help you perform your job duties.
04
Provide any supporting documentation or information that may be needed to support your request.
05
Submit the completed form to the designated individual or department for review and approval.

Who needs reasonable accommodation request form?

01
Employees who have a disability or medical condition that requires accommodations to perform their job duties.
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Reasonable accommodation request form is a document used to request accommodations for individuals with disabilities in order to provide equal opportunities.
Individuals with disabilities who require accommodations in order to perform essential job functions are required to file reasonable accommodation request form.
Reasonable accommodation request form can be filled out by providing information about the disability, requested accommodations, and supporting documentation from a medical professional if necessary.
The purpose of reasonable accommodation request form is to ensure that individuals with disabilities have equal opportunities in the workplace by providing necessary accommodations.
Information such as the nature of the disability, requested accommodations, and supporting documentation may need to be reported on reasonable accommodation request form.
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