Form 13661 reasonable accommodation request 2026

The document outlines the process for requesting reasonable accommodations for employees or applicants with disabilities within the IRS. It includes sections for submitting a written 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 genetic information in relation to accommodation requests. It also details the steps for denial of requests and options for reconsideration or filing complaints.

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Click ‘Get Form’ to open the form 13661 in the editor.
Begin with Part I, where you will provide your personal information including your name, contact details, and medical condition. Be thorough in describing how your condition affects your job functions.
In Part II, the Deciding Official will document their assessment of your request. Ensure they have all necessary information regarding your limitations and any alternative accommodations considered.
For Parts III-A and III-B, a Health Care Practitioner must complete the medical documentation. They should detail the diagnosis and its impact on major life activities.
If your request is denied, Part IV will outline the reasons for denial. Make sure to review this section carefully for any options available for reconsideration.

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Form 13661 reasonable accommodation request 2026

Here's how it works

01. Edit your form 13661 online

02. Sign it in a few clicks

03. Share your form with others

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

Complete this form in 5 minutes or less

irs form 13661

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