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REASONABLE ACCOMMODATION OR MODIFICATION REQUEST FORM 2 Date of Request: Regarding:(Residents or Applicants Name)To:(Health Care Providers Doctors Name)Company:(Health Care Provider Doctor)Contact

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How to fill out reasonable accommodation or modification

01

Determine the specific accommodation or modification needed based on the individual's disability.

02

Complete the necessary forms provided by the relevant institution or organization requesting the accommodation or modification.

03

Provide any supporting documentation or medical records that may be required to support the request.

04

Submit the completed forms and documentation to the appropriate contact person or department responsible for handling accommodation requests.

05

Follow up on the request to ensure it is being processed and implemented in a timely manner.

Who needs reasonable accommodation or modification?

01

Individuals with disabilities who require modifications or accommodations in order to have equal access to programs, services, or facilities.

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What is reasonable accommodation or modification?

Reasonable accommodation or modification is a change in the workplace or in the way things are customarily done that enables an individual with a disability to enjoy equal employment opportunities.

Who is required to file reasonable accommodation or modification?

The individual with a disability or their representative is required to file for reasonable accommodation or modification.

How to fill out reasonable accommodation or modification?

To fill out reasonable accommodation or modification, the individual with a disability or their representative should contact the employer or HR department to request the necessary forms.

What is the purpose of reasonable accommodation or modification?

The purpose of reasonable accommodation or modification is to ensure that individuals with disabilities have equal opportunity in the workplace and are able to perform the essential functions of their job.

What information must be reported on reasonable accommodation or modification?

The information that must be reported on reasonable accommodation or modification includes the nature of the disability, the requested accommodation, and any supporting documentation.

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