Form 13661 reasonable accommodation request 2025

See details

4.5 out of 5

39 votes

The document outlines the process for requesting reasonable accommodations for employees or applicants with disabilities within the IRS. It includes sections for submitting a request, medical documentation, and decision-making by officials. The document emphasizes compliance with the Genetic Information Nondiscrimination Act (GINA) and provides guidelines on how to handle medical information while ensuring privacy. It also details the steps for denial of requests and options for reconsideration or filing complaints.

Here's how it works

01. Edit your form 13661 online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send form 13661 reasonable accommodation request via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out form 13661 reasonable accommodation request with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the form 13661 in the editor.
Begin with Part I, where you will provide your personal information such as name, contact details, and medical condition. Ensure all fields are filled accurately.
In Part II, the Deciding Official will document their assessment of your request. They will need to indicate any limitations caused by your medical condition and whether accommodations can be made.
For Parts III-A and III-B, a Health Care Practitioner must complete the medical documentation. This includes detailing the diagnosis and how it affects major life activities.
Finally, if your request is denied in Part IV, the Deciding Official will provide reasons for denial. Make sure to review this section carefully for any next steps regarding reconsideration.

Start using our platform today to easily fill out and submit your reasonable accommodation request for free!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What disability qualifies for reasonable accommodation?

An individual meets the Americans with Disabilities with Act definition act of disability that would qualify them for reasonable accommodations if they have a physical or mental impairment that substantially limits one or more major life activities (sometimes referred to in the regulations as an actual disability)

What would be considered a reasonable accommodation?

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.

How to fill out a reasonable accommodation request?

In your reasonable accommodation letter, you should provide all the information your employer will need to begin the accommodation process, including what your disability is, how it affects you, which aspects of your job might require modification, and proposed accommodations.

What are the two triggers you looking for when trying to recognize an accommodation request?

The duty to engage in the interactive accommodation process under title I of the Americans with Disabilities Act (ADA) is triggered when a request for reasonable accommodation is received, or when an employer has a reasonable belief that an employee may need accommodation due to a known disability that is affecting job

What is an example of a reasonable accommodation statement?

[Employer] is prepared to modify or adjust the job application process or the job or work environment to make reasonable accommodations to the known physical or mental limitations of the applicant or employee to enable the applicant or employee to be considered for the position he or she desires, to perform the

irs form 13661

Form 13661 reasonable accommodation request template Form 13661 reasonable accommodation request sample Form 13661 reasonable accommodation request pdf Form 13661 reasonable accommodation request reddit Reasonable accommodation Request Form PDF Form 13661 reasonable accommodation request california Reasonable accommodation request form for Federal employees OPM reasonable accommodation request form

How to fill out a request for reasonable accommodation form?

What to Include in Your Reasonable Accommodation Letter Your name and position. The date. Information about your disability. A request for accommodation. Accommodation ideas. Medical information.

What documentation is needed for a reasonable accommodation?

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

What to say in a reasonable accommodation request?

Write down precisely what job-related limitations your condition imposes and note how they can be overcome by accommodations. Identify potential accommodations and assess how effective each would be in allowing you to perform the job. Document all aspects of the accommodation--including cost and availability.