MEDICAL INQUIRY FORM IN RESPONSE TO AN 2025

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Your employer can claim undue hardship, which means it would be too expensive or difficult for them to provide the proposed accommodation.
[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
An employer may use this form to document the determination of an employees request for a reasonable accommodation under the Americans with Disabilities Act (ADA). The form is intended for private employers.
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
If you need changes or accommodations made, your employer may legally ask for proof of your condition. However, this only applies to situations in which a condition is not obvious. For example, if you are in a wheelchair and ask for a low desk, your employer cannot ask for documentation.
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Requests for reasonable accommodation do not have to be in writing and can be requested in a face-to-face conversation or using any other method of communication.
The most widely requested form JAN offers is the Sample Medical Inquiry Form in Response to an Accommodation Request. This form is commonly used to obtain information from a healthcare provider to substantiate that an employee has a medical impairment, associated limitations, and requires accommodation under the ADA.

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