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Housing Authority 2525 13th Street, Suite 204 Boulder, Colorado 80304 Tel: 303.441.3929 Fax: 720.564.2283 www.bouldercountyhhs.org Colorado Relay TDD (800) 659 3656___ Reasonable Accommodation Request
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How to fill out request for reasonable accomodation

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How to fill out request for reasonable accomodation

01
Obtain the request for reasonable accommodation form from the appropriate source (such as Human Resources or the ADA coordinator).
02
Fill out your personal information including name, contact information, and reason for requesting accommodation.
03
Clearly describe the accommodation you are requesting and how it will enable you to perform your job duties effectively.
04
Attach any supporting documentation or medical records to validate your need for accommodation.
05
Submit the completed form and supporting documentation to the designated individual or department within the specified timeframe.

Who needs request for reasonable accomodation?

01
Individuals with disabilities who require assistance or modifications in order to perform essential job functions or access services.
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A request for reasonable accomodation is a formal request made by an individual with a disability to have modifications or adjustments made in a workplace, school, or other environment to enable them to fully participate and access services.
An individual with a disability who requires modifications or adjustments to fully participate and access services is required to file a request for reasonable accomodation.
To fill out a request for reasonable accomodation, the individual should provide their personal information, details of their disability, specific accommodations needed, and any supporting documentation.
The purpose of a request for reasonable accomodation is to ensure that individuals with disabilities have equal access and opportunity to participate fully in activities or programs.
The request for reasonable accomodation should include personal information, details of the disability, specific accommodations needed, and any supporting documentation.
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