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CONFIDENTIAL REASONABLE ACCOMMODATION REQUEST FORM To be completed by employee or job applicant requesting accommodation. Send to: (mail) John Basin, Interim Associate Vice President, Employee & Labor

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How to fill out confidential reasonable accommodation

01

Obtain the reasonable accommodation request form from your employer.

02

Fill out the required personal information such as name, contact information, employee ID, and job title.

03

Provide detailed information about your disability or medical condition that necessitates the accommodation.

04

Describe the specific accommodation you are requesting and why it is necessary to perform your job duties.

05

Attach any supporting documentation from healthcare professionals that validate your need for the accommodation.

06

Submit the completed form to your employer's HR department or designated contact person.

Who needs confidential reasonable accommodation?

01

Employees with disabilities or medical conditions that affect their ability to perform essential job functions may require confidential reasonable accommodation.

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What is confidential reasonable accommodation?

Confidential reasonable accommodation refers to making adjustments or modifications to the work environment or job duties to enable an employee with a disability to perform their job effectively and without discrimination.

Who is required to file confidential reasonable accommodation?

Employees with disabilities who require accommodations to perform their job are required to file for confidential reasonable accommodation.

How to fill out confidential reasonable accommodation?

Employees can fill out a confidential reasonable accommodation request form provided by their employer and submit any relevant medical documentation.

What is the purpose of confidential reasonable accommodation?

The purpose of confidential reasonable accommodation is to ensure that employees with disabilities are able to perform their job duties effectively and without discrimination.

What information must be reported on confidential reasonable accommodation?

Employees must provide medical documentation supporting their need for accommodation and specify the accommodations they are requesting.

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