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Policy No. Revision No. Date of Revision Last Review Date PageSUS100 1 11/10/15 11/10/15 5 of 13EMPLOYEE REQUEST FOR ACCOMMODATION Instructions: Deliver this form to your Human Resources Department.

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How to fill out medical-inquiry-form-in-response-to-an-accommodation

01

Obtain a copy of the medical inquiry form from the organization or individual requesting the accommodation.

02

Carefully read through the form to understand the information being requested.

03

Provide accurate and detailed information about your medical condition or disability.

04

Attach any necessary supporting documentation, such as medical records or doctor's notes.

05

Submit the completed form to the appropriate party within the specified deadline.

Who needs medical-inquiry-form-in-response-to-an-accommodation?

01

Individuals who require accommodations due to medical conditions or disabilities.

02

Organizations or institutions that need to gather medical information for accommodation purposes.

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What is medical-inquiry-form-in-response-to-an-accommodation?

The medical inquiry form in response to an accommodation is a document used to collect information regarding an individual's health-related needs when requesting a reasonable accommodation in a workplace or educational setting.

Who is required to file medical-inquiry-form-in-response-to-an-accommodation?

Individuals who are seeking a reasonable accommodation due to a medical condition are required to file the medical inquiry form in response to an accommodation.

How to fill out medical-inquiry-form-in-response-to-an-accommodation?

To fill out the form, applicants should provide personal information, describe their medical condition, specify the accommodation requested, and include any relevant medical documentation or signatures as required by the organization.

What is the purpose of medical-inquiry-form-in-response-to-an-accommodation?

The purpose of the form is to gather necessary medical information to evaluate the request for accommodation and ensure that the needs of the individual are appropriately addressed.

What information must be reported on medical-inquiry-form-in-response-to-an-accommodation?

The information required typically includes the individual's name, contact information, details about the medical condition, the specific accommodation being requested, and any supporting medical documentation.

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