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Workplace Accommodation Request If you believe that you are eligible for workplace accommodation(s) please complete this form and return it to the Human Resources Office. The information you provide

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How to fill out workplace accommodation request

01

Start by reviewing your company's policy on workplace accommodation requests.

02

Identify the specific accommodation you need based on your circumstances.

03

Fill out the workplace accommodation request form, providing detailed information about your situation and the accommodation you are requesting.

04

Include any supporting documentation or medical certifications that may be required.

05

Submit the completed request form to the designated HR department or supervisor.

06

Be prepared to engage in an interactive process with your employer to discuss your request and come to a resolution.

Who needs workplace accommodation request?

01

Employees with disabilities or medical conditions that require accommodations in the workplace.

02

Pregnant employees in need of workplace accommodations.

03

Employees facing temporary or permanent physical limitations that impact their ability to perform job duties.

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What is workplace accommodation request?

A workplace accommodation request is a formal request made by an employee to modify their work environment or job responsibilities to better suit their individual needs, often due to a disability or health condition.

Who is required to file workplace accommodation request?

Employees who have a medical condition or disability that affects their ability to perform their job duties may be required to file a workplace accommodation request.

How to fill out workplace accommodation request?

To fill out a workplace accommodation request, employees typically need to provide details about their medical condition, specific accommodation needs, and any supporting documentation from a healthcare provider.

What is the purpose of workplace accommodation request?

The purpose of a workplace accommodation request is to ensure that employees can perform their job effectively while addressing their individual needs, thereby promoting equal employment opportunities.

What information must be reported on workplace accommodation request?

Information that must be reported includes the nature of the medical condition, specific accommodations being requested, the duration for which the accommodation is needed, and any relevant medical documentation.

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