Reasonable accommodation form 2026

1. Click ‘Get Form’ to open the reasonable accommodation form in the editor.
2. Begin by entering your name in the 'Name of Client or Applicant' field. Ensure that all information is printed clearly.
3. Fill in your 'Case Number' and 'Social Security Number' accurately to avoid any processing delays.
4. Provide your current address and telephone numbers for both work and home, ensuring they are up-to-date.
5. In the section asking for DHS services, list any services you are requesting or currently receiving that require accommodation.
6. Specify the disability that needs to be accommodated in the designated field.
7. Clearly state your requested accommodation in the appropriate section, providing as much detail as necessary.
8. Indicate whether medical documentation is attached. If not, provide a brief reason in the space provided.
9. Sign and date the form at the bottom. Ensure all signatures required are completed before submission.

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