Denial of Accommodation Request 2025

1. Click ‘Get Form’ to open the Denial of Accommodation Request in the editor.
2. Begin by entering the 'Name of Employee/Applicant Making Request' in the designated field. This identifies who is affected by the denial.
3. Fill in the 'Employee's Official Title' if applicable, otherwise leave it as N/A for applicants.
4. Provide your contact information as the Decision Making Official (DMO) including your name, phone number, and email address.
5. In section 7, indicate the purpose of the accommodation request by selecting from options such as applying for a job or performing essential job functions.
6. Describe the requested accommodation briefly in section 8 to clarify what was denied.
7. In section 9, select reasons for denial from provided options that best fit your situation.
8. Detail specific reasons for denial in section 10 to provide clarity on decision-making.
9. If you wish to request reconsideration, follow instructions in section 11 carefully and ensure timely submission.
10. Finally, sign and date the form at sections 26 and 29 to certify acceptance or non-acceptance of the denial.

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