Reasonable Accommodations and ModificationsLAHD 2026

1. Click ‘Get Form’ to open the Reasonable Accommodations and ModificationsLAHD in the editor.
2. Begin by filling out Section I. Enter the name of the disabled individual, their address, and the last four digits of their Social Security Number. Clearly describe the accommodation being requested.
3. Indicate whether you are the individual in need of accommodation or an authorized representative. Sign and date the certification section to confirm that the individual meets the definition of disability.
4. In Section II, have a qualified professional complete their part. They should answer questions regarding the necessity of the accommodation and provide any relevant information without disclosing confidential medical details.
5. Once both sections are completed, review all entries for accuracy before submitting it to your case worker at LACDA.

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