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This form facilitates reasonable accommodation requests for disabilities at the University of Arkansas, ensuring legal compliance and support for affected employees.
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How to fill out reasonable accommodation medical statement

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How to fill out reasonable accommodation medical statement

01
Obtain the reasonable accommodation medical statement form from your employer.
02
Fill out your personal information, including your name and employee ID.
03
Provide detailed information about your medical condition that necessitates the accommodation.
04
Include any limitations or restrictions caused by your medical condition.
05
Have your healthcare provider complete the form, including their contact information and signature.
06
Submit the completed form to your employer's HR department for review.

Who needs reasonable accommodation medical statement?

01
Employees who have a medical condition that affects their ability to perform essential job functions may need a reasonable accommodation medical statement.
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A reasonable accommodation medical statement is a document that provides medical evidence or support for an individual requesting accommodations in the workplace or educational settings due to a disability or medical condition.
Individuals requesting reasonable accommodations due to a disability are required to file a reasonable accommodation medical statement, typically through their employer or educational institution.
To fill out a reasonable accommodation medical statement, individuals should provide personal information, details about the medical condition, required accommodations, and any relevant medical documentation from a healthcare provider.
The purpose of the reasonable accommodation medical statement is to formally document the need for accommodations based on a medical condition, ensuring compliance with laws such as the Americans with Disabilities Act (ADA).
The reasonable accommodation medical statement must typically include the individual's name, diagnosis, functional limitations, specific accommodations requested, and the signature of a qualified healthcare provider.
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