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This document is a medical certification form required by the Office of Human Resources to evaluate requests for employment accommodation related to an ADA-qualified disability. It collects information about the employee\'s medical condition, functional limitations, and potential accommodations needed in the workplace.
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How to fill out employee accommodation medical certification

How to fill out employee accommodation medical certification
01
Obtain the medical certification form from your HR department.
02
Ensure that the employee's personal information, including name and contact details, is filled out accurately.
03
The healthcare provider should complete their section, detailing the employee’s medical condition.
04
Indicate the specific accommodations recommended for the employee's condition.
05
Specify the duration for which the accommodations are needed.
06
Ensure the healthcare provider signs the certification form.
07
Submit the completed certification to the HR department.
Who needs employee accommodation medical certification?
01
Employees who have a medical condition that impacts their ability to perform their job functions may need employee accommodation medical certification.
02
It is also necessary for employees seeking reasonable accommodations under the Americans with Disabilities Act (ADA) or similar regulations.
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What is employee accommodation medical certification?
Employee accommodation medical certification is a document that verifies an employee's medical condition and the need for specific accommodations in the workplace due to a disability or health issue.
Who is required to file employee accommodation medical certification?
Typically, employees who are seeking workplace accommodations due to a medical condition or disability are required to file employee accommodation medical certification.
How to fill out employee accommodation medical certification?
To fill out employee accommodation medical certification, the employee must provide their medical provider with the necessary forms, which the provider should complete by detailing the medical condition, the recommended accommodations, and any relevant limitations.
What is the purpose of employee accommodation medical certification?
The purpose of employee accommodation medical certification is to document the need for accommodations, ensuring that employees receive the necessary support to perform their job duties effectively while managing their medical conditions.
What information must be reported on employee accommodation medical certification?
Employee accommodation medical certification must report information including the nature of the medical condition, recommended accommodations, any work-related limitations, and the expected duration for which the accommodations are needed.
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