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Bill Chong Commissioner TH 2 Lafayette Street, 19 Floor New York, NY 10007 646 343 6000 tel 646 343 6613 fax www.nyc.gov/dycd REQUEST FOR REASONABLE ACCOMMODATION INSTRUCTIONS: ALL individuals requesting
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How to fill out request for reasonable accommodation

How to fill out a request for reasonable accommodation:
01
Start by clearly stating your need for a reasonable accommodation. Provide a brief overview of the accommodation you are seeking and why it is necessary.
02
Include specific information about the nature of your disability or medical condition that requires the accommodation. Be sure to explain how your disability or medical condition affects your ability to perform certain tasks or activities.
03
Describe the accommodations you are requesting in detail. Clearly outline what modifications or adjustments you are seeking and how they would facilitate your ability to perform your job or access services.
04
Provide supporting documentation, if necessary. This may include medical records, doctor's notes, or other relevant evidence that substantiates your need for the requested accommodations.
05
Specify any timelines or deadlines that are applicable, if relevant. Indicate if there is a specific date by which you need the accommodation to be implemented, or if there are any time-sensitive considerations.
06
Request a meeting or conversation to discuss your accommodation request further. This can be an opportunity to provide additional information or clarify any questions or concerns.
07
Thank the recipient for their attention to your request and express your willingness to provide any additional information that may be required to process your request.
Who needs a request for reasonable accommodation?
01
Employees who have a disability or medical condition that requires accommodations in the workplace.
02
Individuals who require accommodations to access services, such as those provided by government agencies or public establishments.
03
Students with disabilities who need accommodations to ensure equal access to educational opportunities.
04
Any individual who faces barriers or limitations due to their disability or medical condition and requires reasonable accommodations to fulfill their rights and responsibilities.
Note: The specific requirements for requesting a reasonable accommodation may vary depending on the laws and regulations of the country or jurisdiction in question. It is important to consult with relevant authorities or legal resources to ensure compliance with applicable guidelines.
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What is request for reasonable accommodation?
A request for reasonable accommodation is a formal request made by an individual with a disability to make changes or adjustments in the workplace or in other aspects of their life to accommodate their disability.
Who is required to file request for reasonable accommodation?
Individuals with disabilities who require accommodations to perform essential job functions or participate in programs or services are required to file a request for reasonable accommodation.
How to fill out request for reasonable accommodation?
A request for reasonable accommodation can be filled out by providing specific information about the accommodation needed, the reasons for the request, and any supporting documentation.
What is the purpose of request for reasonable accommodation?
The purpose of a request for reasonable accommodation is to ensure that individuals with disabilities have equal access to opportunities and are able to fully participate in all aspects of life.
What information must be reported on request for reasonable accommodation?
The request for reasonable accommodation should include information about the disability, the accommodations needed, the impact of the disability on the individual's ability to perform tasks, and any supporting documentation.
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