A family member, friend, health professional, or other representative may request a reasonable accommodation on your behalf. Reasonable accommodation requests can be made either orally or in writing.
REASONABLE ACCOMMODATIONS REQUEST FORM FREE
Note: This document is a sample form that could be made available to any tenant requesting a reasonable accommodation, which could include a modification to the physical plant or to the building’s policies and procedures. conducting interviews, tests, and other components of the hiring process in accessible locations Sample Request for a Reasonable Accommodation Form. Please complete this form if you have a physical or mental health disability and need a reasonable accommodation to perform the essential functions of your. Employee Accommodation Request Forms ADA Procedure and Practice Guide (PDF) (Word version) Employee Accommodation Request Form (Submit Online) Healthcare.providing written materials in accessible formats (e.g., large print or Braille).providing readers or sign language interpreters during the hiring process REASONABLE ACCOMMODATION REQUEST FORM OHRM - Request for Reasonable Accommodation-2016 (PAGE 1) Contract TitleEmpl.Reasonable accommodations may include, but are not limited to: We will provide reasonable accommodations to qualified employees and applicants with disabilities in all aspects of state employment, consistent with the Americans with Disabilities Act of 1990 and state law unless doing so would create an undue hardship. The Executive Office of Health and Human Services value the diverse backgrounds, skills, talents, and experiences people with disabilities bring to the workplace.
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