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Request for Reasonable Accommodation or Modification Form 2026

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  1. Click ‘Get Form’ to open the Request for Reasonable Accommodation or Modification Form in the editor.
  2. Begin by filling out the 'Individual or Tenant Information' section. Enter the date, your name, address, city, state, zip code, phone number, and email address accurately.
  3. Next, move to the 'Landlord or Housing Provider Information' section. Provide the name and address of your landlord or housing provider along with their city, state, and zip code.
  4. In the designated area, clearly state that you have a disability as defined by the Fair Housing Act. Specify your name and describe how your disability necessitates reasonable modifications or accommodations to enjoy your housing unit.
  5. Ensure all information is complete and accurate. Review each section before submitting to avoid any delays in processing your request.

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Reasonable accommodation does not include removing essential job functions, creating new jobs, and providing personal need items such as eye glasses and mobility aids. Nothing in the ADA prohibits employers from providing these types of accommodations; they simply are not required accommodations.
Commonly Utilized Accommodations Electronic copies of notes, handouts, overheads, or chalkboard notes. Use of a scribe or note taker. Seating locations (close to the chalkboard or screen) Tape-recorded lectures. Taped textbooks. Alternate test format: oral, Braille, or large print.
Under Title I of the Americans with Disabilities Act (ADA), a reasonable accommodation is a modification or adjustment to a job, the work environment, or the way things are usually done during the hiring process.
Written Accommodation Requests 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.
Reasonable accommodation is any modification or adjustment to a job or the work environment that will enable an applicant or employee with a disability to participate in the application process or to perform essential job functions.

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In general, you should request an accommodation when you know that there is a workplace barrier that is preventing you, due to a disability, from competing for a job, performing a job, or gaining access to a benefit of employment like an employee lunch room or employee parking.
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.
What types of accommodations are generally considered reasonable? Change job tasks. Provide reserved parking. Improve accessibility in a work area. Change the presentation of tests and training materials. Provide or adjust a product, equipment, or software. Allow a flexible work schedule.

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