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Human ResourcesMedical Provider Inquiry Form in Response to an Accommodation Request Sierra Hall, Room 101, Phone (909) 5375138, Email employee.relations@csusb.edu Employee Name:Phone:Email:A. Questions
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How to fill out employee request for disability

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How to fill out employee request for disability

01
Obtain the form for employee request for disability from the HR department.
02
Fill out personal information such as name, address, employee ID, and contact information.
03
Provide details of the disability including date of onset, diagnosis, and any relevant medical documentation.
04
Specify how the disability affects your ability to work and any accommodations or modifications needed.
05
Sign and date the form before submitting it to the HR department for processing.

Who needs employee request for disability?

01
Employees who have a disability and require accommodations or modifications in the workplace.
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Employee request for disability is a formal request made by an employee to notify their employer about their need for disability accommodations or support.
The employee who requires disability accommodations or support is required to file an employee request for disability.
Employees can fill out an employee request for disability by providing details about their disability, the accommodations they require, and any supporting documentation.
The purpose of an employee request for disability is to notify the employer about the employee's disability and request accommodations or support as needed.
Employee request for disability must include information about the employee's disability, the accommodations needed, and any supporting documentation.
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