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DMHAS Reasonable Accommodation Request Form 2026
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- Click ‘Get Form’ to open the Reasonable Accommodation Request Form in our editor.
- Begin by selecting either Box 1 for DMHAS employees or Box 2 for applicants. Fill in the required fields such as Date, Name, and Position Title for Box 1, or Position Applied For and Applicant Name for Box 2.
- In Section A, provide a detailed description of your physical or mental impairment. Be specific about how it limits major life activities. You can attach additional pages if necessary.
- For employees only, complete Section B by explaining how your impairment affects your ability to perform essential job functions.
- In Section C, describe the accommodation you are requesting clearly and concisely.
- Finally, fill out your contact information including mailing address and phone number before submitting the form to the facility EEO specialist.
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reasonable accommodation section 8 form
Make reasonable accommodations, if applicable, for the person taken into custody, such as the care of the persons pet, securing of a house or vehicle, Make
Mar 28, 2025 provide an interactive process to grant reasonable accommodations for DMHAS employees and applicants. Office (860) 262-5907, Fax 19592004775@ct