Americans with Disabilities Act (ADA) Accommodation Request Form Date: EMPLOYEE INFORMATION (PART 1): Fill out & sign online

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What is an example of an ADA letter?

I learned in our conversation on [date], that you have a health condition that may impact your ability to perform your job. I want you to have the opportunity to be successful in your job and encourage you to work with us in identifying reasonable accommodation, if needed, which will provide this opportunity.

What is an example ADA denial letter?

After careful review of your proposal, I regret that the Company will be unable to provide you the accommodation you have requested for the following reason(s): [Articulate the reasons why the proposed accommodation is unacceptable to the Company.

What does the ADA stand for?

What Is the Americans with Disabilities Act? The Americans with Disabilities Act (ADA) of 1990 provides comprehensive civil rights protections to individuals with disabilities in the areas of employment, state and local government services, public accommodations, transportation, and telecommunications.

How do I write an ADA letter?

Content to consider in body of letter: Identify yourself as a person with a disability. State that you are requesting accommodations under the ADA (or the Rehabilitation Act of 1973 if you are a federal employee) Identify your specific problematic job tasks. Identify your accommodation ideas.

What is an example of a reasonable accommodation letter from a doctor?

[Example 1] As a result of [Name]s disability, she occasionally experiences episodes of disorientation and dizziness. During these episodes, [Name] must sit or lie down for a few minutes to recover. Therefore, [Name] needs, as an accommodation, permission to take these short breaks.

How do I write an accommodation request?

Dear [Insert employers name here]: I have been having medical issues that have affected my mood, sleep schedule, concentration, and focus. I would like to request accommodations so that I might be able to perform my job effectively before my performance starts to suffer.

What are some examples of ADA?

The ADA prohibits discrimination based on disability. Under the ADA, it is illegal to discriminate against someone because of their disability. For example, a fitness center could not exclude a person who uses a wheelchair from a workout class because they cannot do all of the exercises in the same way.

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