
Accommodation Intake Form DOCX


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People also ask
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What is an example of an accommodation statement?
As part of this commitment, [Employer] will ensure that persons with disabilities are provided reasonable accommodations for the hiring process. If reasonable accommodation is needed, please contact [include name and/or department, telephone, and e-mail address, etc.].
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How do you write an accommodation statement?
Content to consider in body of letter: Identify yourself as a person with a disability. State that you are requesting accommodations under the ADA (or the Rehabilitation Act of 1973 if you are a federal employee) Identify your specific problematic job tasks. Identify your accommodation ideas.
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What is an example of a reasonable accommodation statement?
[Employer] is committed to the full inclusion of all qualified individuals. As part of this commitment, [Employer] will ensure that persons with disabilities are provided reasonable accommodations for the hiring process.
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Can I write my own accommodation letter?
If your employer doesn't have a form, you can write a letter (or email) that clearly states your request and the medical condition that it is related to.
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How do you write a reasonable accommodation letter for telework?
I am writing to request permission to telework as a reasonable accommodation under the ADA. As you may know, I have a disability (you may list your disability here or wait for your employer to request documentation of your disability) and this accommodation would help me be successful at my job.
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What is an example of an accommodation letter from a therapist?
[Example 1] As a result of [Name]'s disability, she occasionally experiences episodes of disorientation and dizziness. During these episodes, [Name] must sit or lie down for a few minutes to recover. Therefore, [Name] needs, as an accommodation, permission to take these short breaks.
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What is an example of an accommodation personal statement?
Accommodation Personal Statement Example I have been diagnosed with [Your Condition], a condition that affects my [Brief Description of Symptoms]. I believe that with the following accommodations, I can perform at my best: Extended time on exams and assignments. A quiet workspace to minimize distractions.
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What is the best example of an accommodation?
Examples of Accommodations Audio, Brailled or electronic-formatted lecture notes, handouts, and texts. Verbal descriptions of visual aids. Raised-line drawings and tactile models of graphic materials. Braille lab signs and equipment labels, auditory lab warning signals.
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