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This document is used by employees of UIC to request reasonable accommodations based on their medical condition, complying with the Americans with Disabilities Act and other relevant laws.
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How to fill out uic employee request for

How to fill out UIC Employee Request For Reasonable Accommodation Based on Medical Condition
01
Obtain the UIC Employee Request for Reasonable Accommodation form from the Human Resources website or office.
02
Fill in your personal information, including your name, department, and contact details.
03
Specify your medical condition and how it limits your ability to perform your job effectively.
04
Clearly outline the specific accommodations you are requesting and how they would assist you.
05
Provide any relevant medical documentation that supports your request.
06
Sign and date the form to certify the information is true and accurate.
07
Submit the completed form to your supervisor or the designated HR representative in your department.
Who needs UIC Employee Request For Reasonable Accommodation Based on Medical Condition?
01
Any UIC employee with a medical condition that substantially limits one or more major life activities and requires adjustments or modifications to their work environment or duties.
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What is an example of a reasonable accommodation statement?
Abbreviated Reasonable Accommodation Statement To be used when space is limited: Anyone with a disability who would like to request accommodations or who has questions about physical access may contact [insert email and telephone number of the program/event sponsor] in advance of the program or visit.
What are good reasons for reasonable accommodation?
Reasonable accommodation can include, but is not limited to, the following: Changing job duties. Providing leave for medical care. Changing work schedules. Relocating the work area. Providing mechanical or electrical aids.
What are examples of medical accommodations?
An individual meets the Americans with Disabilities with Act definition act of “disability” that would qualify them for reasonable accommodations if they have “a physical or mental impairment that substantially limits one or more major life activities (sometimes referred to in the regulations as an “actual disability”)
How do you write a good reasonable accommodation request?
Write down precisely what job-related limitations your condition imposes and note how they can be overcome by accommodations. Identify potential accommodations and assess how effective each would be in allowing you to perform the job. Document all aspects of the accommodation--including cost and availability.
What is an example of a reasonable accommodation letter from a doctor?
Reasonable accommodation can include, but is not limited to, the following: Changing job duties. Providing leave for medical care. Changing work schedules. Relocating the work area. Providing mechanical or electrical aids.
What to write in a reasonable accommodation request?
[Example 1] As a result of [Name]'s disability, she occasionally experiences episodes of disorientation and dizziness. During these episodes, [Name] must sit or lie down for a few minutes to recover. Therefore, [Name] needs, as an accommodation, permission to take these short breaks.
What is an example of asking for accommodation?
Example A: An employee tells her supervisor, "I'm having trouble getting to work at my scheduled starting time because of medical treatments I'm undergoing." This is a request for a reasonable accommodation.
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What is UIC Employee Request For Reasonable Accommodation Based on Medical Condition?
The UIC Employee Request For Reasonable Accommodation Based on Medical Condition is a formal process by which employees at the University of Illinois Chicago can request modifications or adjustments to their work environment or job duties due to a medical condition.
Who is required to file UIC Employee Request For Reasonable Accommodation Based on Medical Condition?
Any employee of UIC who has a medical condition that affects their ability to perform their job duties is required to file the request for reasonable accommodation.
How to fill out UIC Employee Request For Reasonable Accommodation Based on Medical Condition?
To fill out the UIC Employee Request For Reasonable Accommodation, an employee should complete the designated form by providing personal information, details about the medical condition, and specific requests for accommodation.
What is the purpose of UIC Employee Request For Reasonable Accommodation Based on Medical Condition?
The purpose of the UIC Employee Request For Reasonable Accommodation is to ensure that employees with medical conditions receive the necessary support and adjustments to perform their job effectively and without discrimination.
What information must be reported on UIC Employee Request For Reasonable Accommodation Based on Medical Condition?
The information that must be reported includes the employee's name, the nature of the medical condition, the specific accommodations being requested, and any relevant documentation from a healthcare provider.
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