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HOUSING AUTHORITY REQUEST FOR REASONABLE ACCOMMODATION or STRUCTURAL MODIFICATION This form is to be used by an applicant applying for housing or by a resident of PHA housing to request a change in
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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
Start by obtaining the reasonable accommodation request form from your employer or HR department.
02
Fill out your personal information such as name, contact information, and employee ID number.
03
Clearly state the accommodation you are requesting and provide a detailed explanation of how it will help you perform your job duties.
04
If applicable, include any supporting documentation such as a doctor's note or medical records.
05
Submit the completed form to the appropriate individual or department as specified by your employer's policies.

Who needs reasonable accommodation request form?

01
Employees who have a disability or medical condition that requires specific accommodations in order to perform their job duties effectively.
02
Employees who are pregnant and need accommodations to ensure a safe and healthy work environment.
03
Employees who have religious practices that may conflict with work requirements and need accommodations to observe their religious beliefs.
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A reasonable accommodation request form is a document that an individual can submit to request a modification or adjustment to the workplace or a job duty in order to accommodate their disability.
Any employee or job applicant who requires an accommodation due to a disability is required to file a reasonable accommodation request form.
To fill out a reasonable accommodation request form, the individual must provide information about their disability, the specific accommodation requested, and any supporting documentation.
The purpose of a reasonable accommodation request form is to provide a formal process for individuals to request accommodations that will enable them to perform their job duties effectively despite their disability.
The reasonable accommodation request form typically requires information about the nature of the disability, the specific accommodation being requested, and any relevant medical documentation.
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