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Arlington Central School District Office of Human Resources 144 Todd Hill Road, Lawrenceville, NY 12540, 8454864460REQUEST FOR WORKPLACE ACCOMMODATION ***Completed by Employee *** Employee: ___Date

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How to fill out request for workplace accommodation

01

Step 1: Identify the specific accommodation needed, such as ergonomic furniture or modified work hours.

02

Step 2: Consult with your healthcare provider or occupational therapist to provide documentation of your needs.

03

Step 3: Schedule a meeting with your HR department to discuss your request and provide the necessary documentation.

04

Step 4: Work with HR to develop a plan for implementing the accommodation, including any necessary adjustments to your work environment.

05

Step 5: Follow up with HR to ensure the accommodation is effective and make any necessary modifications.

Who needs request for workplace accommodation?

01

Employees with disabilities or medical conditions that impact their ability to perform essential job functions.

02

Pregnant employees who require accommodations to ensure their safety and well-being.

03

Employees recovering from injuries or surgeries that affect their ability to work without modifications.

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What is request for workplace accommodation?

A request for workplace accommodation is a formal request made by an employee to their employer for modifications or adjustments to be made in the workplace in order to accommodate their specific needs or disabilities.

Who is required to file request for workplace accommodation?

Any employee who requires accommodations in the workplace due to a disability or specific needs is required to file a request for workplace accommodation.

How to fill out request for workplace accommodation?

The request for workplace accommodation can typically be filled out by completing a specific form provided by the employer or by submitting a written request outlining the accommodations needed.

What is the purpose of request for workplace accommodation?

The purpose of a request for workplace accommodation is to ensure that employees with disabilities or specific needs are provided with the necessary modifications or adjustments to perform their job duties effectively.

What information must be reported on request for workplace accommodation?

The request for workplace accommodation should include information about the employee's specific needs, the type of accommodations requested, and any relevant medical documentation supporting the request.

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