Reasonable accommodation request form sample dol 2026

1. Click ‘Get Form’ to open the reasonable accommodation request form in the editor.
2. Begin by entering your personal information in the designated fields, including your name, address, telephone number, and social security number.
3. In the section for accommodations requested for the Assisted Living Administrators’ examination, check all applicable boxes that reflect your needs, such as 'Accessible Testing Site' or 'Extended time'.
4. If you require extended time, specify the duration needed by selecting from options like 'Time-and-a-half' or 'Double Time'.
5. Use the comments section to provide any additional information that may support your request.
6. Sign and date the form at the bottom to validate your request.
7. Ensure you complete and attach the Documentation of Disability Related Needs form before submission.

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