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MEDICAL INQUIRY FORM RESPONSIVE TO ACCOMMODATION REQUEST FOR COMPLETION BY EMPLOYEE Employees Name:CONFIDENTIALITY STATEMENT: A request for accommodation, including medical and other relevant information,
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How to fill out reasonable accommodation request medical

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How to fill out reasonable accommodation request medical

01
Obtain the reasonable accommodation request form from your employer or HR department.
02
Fill out the form with your personal information and details of the accommodation you are requesting.
03
Provide any necessary medical documentation or supporting documentation from your healthcare provider.
04
Submit the completed form and any supporting documents to your employer or HR department.

Who needs reasonable accommodation request medical?

01
Individuals with disabilities or medical conditions who require accommodations in the workplace.
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Reasonable accommodation request medical is a formal request made by an individual to their employer seeking accommodations for medical reasons.
Any employee with a medical condition or disability that requires accommodations in the workplace is required to file a reasonable accommodation request medical.
To fill out a reasonable accommodation request medical, employees should typically submit a written request outlining their medical condition, the accommodations needed, and any supporting documentation from a medical professional.
The purpose of a reasonable accommodation request medical is to ensure that individuals with disabilities or medical conditions have equal opportunity in the workplace by providing necessary accommodations.
Information that must be included on a reasonable accommodation request medical typically includes details about the medical condition, specific accommodations needed, and any relevant medical documentation.
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