Request for Accommodations Form - Mass - mass 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your personal information in the designated fields, including your name, mailing address, email, and phone number. Ensure all details are accurate and legible.
  3. Select the type of examination you are applying for by checking the appropriate box. This section is crucial as it determines the context of your accommodation request.
  4. In the 'Need for Accommodations' section, clearly explain your impairment(s) and why accommodations are necessary. You may attach additional pages if needed to provide comprehensive details.
  5. List the specific accommodations you are requesting in the 'Accommodations Requested' section. Be precise to ensure clarity in your request.
  6. Attach supporting documentation that meets all outlined criteria, ensuring it is recent and from a qualified professional. This documentation is vital for validating your request.
  7. Finally, complete the attestation by signing and dating the form to confirm that all information provided is true and accurate.

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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
Content to consider in body of letter: 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.
A reasonable accommodation is a change in the policy, rules, procedures, practices or services that enable a person with a disability to have an equal opportunity to use and enjoy the housing available.
If you have a disability, you may be able to get what is called a reasonable accommodation or reasonable modification. A reasonable accommodation means that a housing authority or subsidized development makes certain changes in rules, policies, or services so that you can have full use of your home.
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.
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What is the purpose of this form? This form is for people who need help or changes to their shelter or to program rules. The person must need the help or change because of a disability. The help or change also must be needed to get the same benefit from EA as people who do not have a disability.
Permitting a tenant to transfer to a ground-floor unit or to another unit that meets a tenants disability-related needs. Adjusting a rent payment schedule to accommodate when an individual receives income assistance. Permitting an applicant to submit a housing application via a different means.

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