Reasonable accommodation form 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the name of the person needing accommodation and the head of household's name in the designated fields.
  3. Fill in your address and contact information, including phone numbers, ensuring accuracy for effective communication.
  4. In Section A, indicate whether you or a household member has a disability by checking the appropriate box and providing necessary details.
  5. Section B requires you to specify the reasonable accommodation requested. Check one or more boxes and provide detailed descriptions as needed.
  6. In Section C, explain why this accommodation is necessary for your situation. Be clear and concise to support your request.
  7. Review Section D regarding confidentiality and sign where indicated. Ensure both the head of household and adult member needing accommodation sign and date the form.

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Sufficient medical documentation should describe the nature, severity, and duration of the impairment, the activity or activities that the impairment limits, the extent to which the impairment limits the employees ability to perform the activity or activities, and should also substantiate why the requested reasonable
Requesting an Accommodation The requesting employee submits their request for reasonable accommodation through the DOL Accommodates system, providing all the information requested.
Examples of reasonable accommodations include providing interpreters, readers, or other personal assistance; modifying job duties; restructuring work sites; providing flexible work schedules or work sites (i.e. telework) and providing accessible technology or other workplace adaptive equipment.
Your doctor will want you to sign a consent form, allowing the doctor to provide details about your medical condition that would otherwise have to be kept confidential. Once youve given your consent, the doctor should write a brief letter explaining your condition and suggesting possible accommodations.
If the employee or applicant fails to provide documentation or information where it has been properly requested, the deciding official may deny a reasonable accommodation request. The deciding official must consult with the EOUSA GCO to determine whether additional medical or other information is needed.

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