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PDF ADA Request for Accommodations Form.pdf - The University of ... 2026
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- Click ‘Get Form’ to open the PDF ADA Request for Accommodations Form in the editor.
- Begin by entering the patient's or employee's name in the designated field at the top of the form.
- Fill in the date on which you are completing the form. This is crucial for record-keeping.
- Answer the questions regarding disability verification carefully, selecting 'Yes' or 'No' as applicable.
- In the section about major life activities, check all that apply to ensure a comprehensive understanding of limitations.
- Provide detailed information about specific functional limitations and their durations in the provided chart.
- Complete the medical provider information section, ensuring all fields are filled accurately before submission.
- Once completed, save your changes and return this form to Human Resources via email or physical address as indicated.
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