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Human Resources/ADA Affirmative ActionDate: ___ Employee\'s Name: ___ Phone: ___ Email: ___ Job Title: ___ Department: ___ Supervisor\'s name: ___ Describe the nature, extent and duration of your

How to fill out ada-reasonable-accommodation-request-and-medical- template

How to fill out ada-reasonable-accommodation-request-and-medical

1. Obtain the ADA reasonable accommodation request form and medical documentation form.
2. Fill out the ADA reasonable accommodation request form with your personal information, employer information, and requested accommodations.
3. Fill out the medical documentation form with all relevant information about your medical condition and how it affects your ability to perform essential job functions.
4. Submit both forms to your employer's HR department or designated individual responsible for handling accommodation requests.
5. Follow up with your employer to ensure that your request is being processed and to provide any additional information if needed.

Who needs ada-reasonable-accommodation-request-and-medical?

1. Anyone with a documented disability who requires accommodations to perform essential job functions may need to fill out an ADA reasonable accommodation request and medical documentation.

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What is ada-reasonable-accommodation-request-and-medical?

The ADA reasonable accommodation request and medical form is a document used by employees to request modifications or adjustments to their work environment or job duties due to a disability, under the Americans with Disabilities Act (ADA).

Who is required to file ada-reasonable-accommodation-request-and-medical?

Any employee who has a disability as defined by the ADA and requires modifications to their job duties or workplace environment to perform their essential job functions is required to file an ADA reasonable accommodation request.

How to fill out ada-reasonable-accommodation-request-and-medical?

To fill out the ADA reasonable accommodation request and medical form, the employee should provide personal information, describe their disability, specify the requested accommodations, and include any relevant medical documentation that supports the need for the accommodations.

What is the purpose of ada-reasonable-accommodation-request-and-medical?

The purpose of the ADA reasonable accommodation request and medical form is to facilitate communication between the employer and employee regarding the employee's disability and to ensure the employee is provided with the necessary accommodations to perform their job effectively.

What information must be reported on ada-reasonable-accommodation-request-and-medical?

The information that must be reported includes the employee's name, job title, details about the disability, specific accommodation requests, and any supporting medical information that justifies the need for the accommodation.