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Reasonable Accommodation Request Form


Available for immediate download.

The Reasonable Accommodation Request Form is used by employees who are seeking an accommodation due to a limitation in performing a specific job duty. The form walks the employee (and the employer) through how to clarify what accommodation is being requested and how to document the reason for the accommodation request. This tool is the first step in determining whether the accommodation is considered reasonable, or if it presents undue hardship to the employer.