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How do I fill this out?

To fill out this form, start by indicating your personal details at the top. Next, describe the accommodation you are requesting and provide any relevant documentation. Finally, submit the completed form to your supervisor for approval.

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How to fill out the Reasonable Accommodation for Individuals with Disabilities?

  1. 1

    Download the reasonable accommodation request form.

  2. 2

    Complete your personal information including name and job title.

  3. 3

    Detailed your accommodation request clearly.

  4. 4

    Attach any required supporting documents.

  5. 5

    Submit the form to your supervisor for processing.

Who needs the Reasonable Accommodation for Individuals with Disabilities?

  1. 1

    Individuals with disabilities requiring workplace adjustments for effective job performance.

  2. 2

    Managers who need guidance on how to support their employees with disabilities.

  3. 3

    HR personnel responsible for processing accommodation requests.

  4. 4

    Employees returning to work after a medical leave needing support.

  5. 5

    Job applicants seeking assurance of an equal opportunity in the hiring process.

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What are the instructions for submitting this form?

To submit the form, please email it to your supervisor at [supervisor's email]. Alternatively, you may fax it to [fax number] or drop it off in person at [physical address]. For online submissions, please visit the DHA portal and follow the submission guidelines provided.

What are the important dates for this form in 2024 and 2025?

There are no specific important dates for this form, but it is advisable to submit requests soon after they are needed to ensure timely processing.

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What is the purpose of this form?

The purpose of this form is to facilitate the request for reasonable accommodations for individuals with disabilities. It aims to provide employees with the tools and support they need for effective job performance. By formally documenting these requests, the DHA ensures compliance with federal regulations and fosters an inclusive workplace.

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Tell me about this form and its components and fields line-by-line.

The form includes various fields that require specific information to process accommodation requests.
fields
  • 1. Employee's Name: The full name of the employee requesting accommodations.
  • 2. Job Title: The position held by the employee within the DHA.
  • 3. Description of Accommodation: Details of the requested accommodation and its necessity for the job.
  • 4. Supporting Documents: Any medical or relevant documents supporting the accommodation request.
  • 5. Supervisor's Approval: Signature of the supervisor approving the accommodation.

What happens if I fail to submit this form?

Failure to submit this form may result in delays in receiving necessary accommodations. Employees may struggle with job responsibilities that could have been alleviated by requested adjustments. It is crucial to submit the form in a timely manner to ensure compliance and support.

  • Increased Difficulty at Work: Employees may face challenges in performing their job tasks without necessary accommodations.
  • Legal Compliance Issues: Not submitting may lead to violations of federal regulations regarding disability accommodations.
  • Job Performance Impact: Without accommodations, employees may experience reduced performance, affecting overall productivity.

How do I know when to use this form?

Use this form when you require modifications to your work environment due to a disability. It is applicable for both current employees and job applicants seeking equal opportunities. Submitting this form helps ensure appropriate accommodations are established for effective job performance.
fields
  • 1. Current Employees: Current employees can use this form to request necessary adjustments in their work environment.
  • 2. Job Applicants: Job applicants can use this form to ensure their needs are considered during the hiring process.
  • 3. Post-Medical Leave: Employees returning from medical leave may need this form to request transitional accommodations.

Frequently Asked Questions

What is the purpose of this form?

This form allows employees to request reasonable accommodations for their disabilities.

How do I submit this form?

You can submit the form through your supervisor or the Equal Employment Opportunity office.

What if I need help filling it out?

You can contact the HR department for assistance with filling out the form.

Is there a deadline for submission?

There is no strict deadline, but prompt submission is encouraged for timely processing.

Can I make changes to my request after submission?

Yes, you may modify your request by informing your supervisor.

What information do I need to provide?

You will need to provide personal details, details about your disability, and any relevant medical documentation.

How will I be notified about my request?

You will be notified via email or through direct communication from your supervisor.

Are there any costs associated with accommodations?

Most accommodations are provided at no cost to the employee.

What types of accommodations can be requested?

Accommodations may include adjusted work hours, modified workspaces, or assistive technology.

Who can I contact for more information?

You can contact the Equal Opportunity Diversity Management Division for further queries.

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