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If available, this document should accompany the 5150 to the receiving facility. Alameda County Behavioral Health Care Services Historical Information Provided by Family Member or Other Interested
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Start by carefully reading the instructions provided on the form. This will help you understand the purpose and requirements of the AB-1424 form.
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Gather all the necessary information and documents that are required to complete the form. This may include personal information, contact details, and any supporting documentation.
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Begin by filling out the section titled "Applicant Information." Provide your full name, address, contact details, and any other information as requested.
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Move on to the section titled "Work Information." Here, you will need to provide details about your current or previous employer, including the employer's name, address, and contact information.
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The next section is called "Requested Accommodation/Modification." In this section, you should clearly state the reasonable accommodation or modification that you are requesting. Be specific and provide any necessary details to support your request.
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If applicable, fill out the section titled "Medical Documentation." You may be required to provide medical documentation to support your accommodation request. If this is the case, consult with your healthcare provider to obtain the necessary documentation.
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Who needs AB-1424 form - Alameda?

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Employees or job applicants residing in Alameda who require a reasonable accommodation or modification in their workplace due to a disability.
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Employers in Alameda who have employees or job applicants requesting a reasonable accommodation or modification and need to process their requests.
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The Alameda County Human Resource Services department responsible for reviewing and assessing requests for reasonable accommodations or modifications in compliance with the law.
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ab-1424 bformb - alameda is a form used to report information regarding certain Alameda County ordinances.
Businesses that are subject to specific Alameda County ordinances are required to file ab-1424 bformb - alameda.
ab-1424 bformb - alameda can be filled out electronically or manually by providing the required information as per the instructions provided on the form.
The purpose of ab-1424 bformb - alameda is to ensure businesses comply with certain Alameda County ordinances.
ab-1424 bformb - alameda requires businesses to report specific details as outlined in the form regarding their compliance with Alameda County ordinances.
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