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Get the free ADA - Job Accom Worksheet Approved 12-12 - athens

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Supported by Administrative Council: 121212 Approved by Dr. Glenn: 121212 ASU EMPLOYEE JOB ACCOMMODATION WORKSHEET Employee Name: Job Title: Date of Request: Office Location: Office Extension: Supervisor:
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How to fill out ADA - Job Accommodation:

01
Start by carefully reading and understanding the ADA - Job Accommodation form. Familiarize yourself with the purpose and requirements outlined in the document.
02
Provide your personal information accurately. This may include your name, job title, department, contact information, and any other essential details necessary for identification.
03
Clearly state the nature of your disability or medical condition that necessitates a job accommodation. Describe your specific limitations or challenges that impact your ability to perform certain job tasks or functions.
04
Identify the requested accommodation(s) that you believe would enable you to perform your job duties effectively. Be specific and provide detailed information about the type of accommodation you are seeking, such as modified work hours, assistive technology, ergonomic equipment, or modified job tasks.
05
Include any supporting documentation or medical records that validate your need for the requested accommodation. This can provide evidence of your disability or medical condition, as well as professional recommendations for specific accommodations.
06
Communicate your willingness to engage in an interactive process with your employer to determine the feasibility and effectiveness of the requested accommodation. Emphasize your desire to find a reasonable solution that benefits both parties involved.
07
Sign and date the ADA - Job Accommodation form to indicate your acknowledgment and agreement with the information provided. Review your responses thoroughly to ensure accuracy before submission.

Who needs ADA - Job Accommodation?

01
Individuals with disabilities or medical conditions that impact their ability to perform essential job functions require ADA - Job Accommodation. This includes individuals with physical disabilities, chronic illnesses, mental health conditions, sensory impairments, and other disabilities protected under the Americans with Disabilities Act (ADA).
02
Employees who have limitations that adversely affect their job performance or prevent them from fulfilling essential job requirements may benefit from ADA - Job Accommodation. These individuals may require modifications or adjustments in their work environment, schedules, equipment, or job tasks to enhance their productivity and ensure equal employment opportunities.
03
Employers have a legal obligation to provide reasonable accommodations under the ADA to qualified individuals with disabilities. They need to engage in an interactive process with employees to assess and determine appropriate accommodations. By fulfilling their responsibilities, employers can foster an inclusive work environment and comply with anti-discrimination laws.
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ADA - Job Accommodation is a process where an employer must provide reasonable accommodations to qualified employees with disabilities, as defined by the Americans with Disabilities Act (ADA).
Employers are required to engage in the ADA - Job Accommodation process when an employee requests accommodations due to a disability.
Employers can fill out the ADA - Job Accommodation form by working with the employee requesting accommodations, documenting the accommodations provided, and keeping records of the process.
The purpose of ADA - Job Accommodation is to ensure that qualified employees with disabilities are provided with reasonable accommodations to perform their essential job functions.
The information reported on ADA - Job Accommodation forms typically includes details of the accommodation requested, medical documentation supporting the need for accommodation, and a record of the accommodations provided.
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