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The University Corporation at Monterey Bay
Human Resources OfficeReturn completed form to
auoswald@csumb.eduReasonable Accommodation Request Confidential
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How to fill out reasonable accommodation request

How to fill out reasonable accommodation request
01
First, determine if you are eligible for reasonable accommodation based on a disability or medical condition.
02
Contact the appropriate individual or department at your organization to request a reasonable accommodation form.
03
Fill out the form with detailed information about your disability or medical condition and how it impacts your ability to perform your job functions.
04
Provide any supporting documentation such as medical records or a doctor's note with your request.
05
Submit the completed form and any supporting documentation to the appropriate individual or department within your organization.
06
Engage in an interactive process with your employer to discuss possible accommodations and reach an agreement on the appropriate accommodation.
07
Once an accommodation is agreed upon, document the accommodation in writing and implement it in the workplace.
Who needs reasonable accommodation request?
01
Employees with disabilities or medical conditions that impact their ability to perform job functions
02
Individuals who require adjustments or modifications in order to have equal access to employment opportunities
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What is reasonable accommodation request?
Reasonable accommodation request is a request made by an individual with a disability to modify or adjust a job, work environment, or process to enable them to perform the essential functions of their position.
Who is required to file reasonable accommodation request?
Any individual with a disability who needs modifications or adjustments to perform their job is required to file a reasonable accommodation request.
How to fill out reasonable accommodation request?
To fill out a reasonable accommodation request, the individual should typically submit a written request to their employer's HR department or designated ADA coordinator.
What is the purpose of reasonable accommodation request?
The purpose of a reasonable accommodation request is to ensure that individuals with disabilities have equal opportunities in the workplace and can perform their job duties effectively.
What information must be reported on reasonable accommodation request?
The reasonable accommodation request should include information about the specific accommodation needed, how it will enable the individual to perform their job duties, and any supporting documentation from a healthcare provider if required.
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