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CONFIDENTIAL REQUEST FOR ACCOMMODATION Appendix A Completed by Employee Please complete this form if you have a physical or mental health disability and need a reasonable accommodation to perform

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How to fill out request for accommodation form

01

Obtain the request for accommodation form from the appropriate department or organization.

02

Fill in your personal details such as name, contact information, and any relevant identification numbers.

03

Specify the type of accommodation you are requesting and the reasons for your request.

04

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

05

Submit the completed form to the designated individual or department within the specified timeframe.

Who needs request for accommodation form?

01

Anyone who requires special accommodations due to a disability, medical condition, or other legitimate reasons may need to fill out a request for accommodation form.

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What is request for accommodation form?

A request for accommodation form is a document used to formally request modifications or adjustments in a workplace or educational setting to meet an individual's specific needs, often due to a disability.

Who is required to file request for accommodation form?

Individuals who require modifications or accommodations due to a disability, chronic illness, or other specific needs are typically required to file a request for accommodation form.

How to fill out request for accommodation form?

To fill out the request for accommodation form, provide personal information, detail the specific accommodations requested, explain how these changes will assist you, and include any relevant documentation that supports your request.

What is the purpose of request for accommodation form?

The purpose of the request for accommodation form is to ensure that individuals receive the necessary support and adjustments to perform effectively in their roles, promoting inclusivity and accessibility.

What information must be reported on request for accommodation form?

The information that must be reported includes the individual's name, contact information, details of the disability or need, specific accommodations requested, and any supporting documentation.

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