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Click ‘Get Form’ to open the GSA Form 3676 in the editor.
Begin by entering your personal information in the 'Information on Requestor' section. Fill in your name, occupational series, grade level, telephone number, office details, fax number, and email address.
Next, indicate the date of your request. This is crucial for processing your accommodation in a timely manner.
In the 'Need' section, check one of the options that best describes your request: application process, performing job functions or accessing work environment, or accessing a benefit or privilege.
Specify the type(s) of accommodation you are requesting. This could include adaptive equipment or assistance with architectural barriers.
If applicable, provide reasons for your accommodation request. If it is time-sensitive, be sure to explain why.
Finally, sign and date the form at the bottom to complete your submission.
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What are reasonable accommodations for anxiety for federal employees?
Some alternative accommodations for anxiety that federal employees can request include changes in job duties, flexible work hours, or workspace modifications. Federal employees can initiate a discussion with their supervisor and submit a formal request for accommodations.
Where to send gsa forms?
Offices LocationAddressGSA region Washington, D.C. 1800 F St. NW. 20405 11 San Francisco, CA 50 United Nations Plaza 94102 9 Chicago, IL 230 S. Dearborn St. 60604 5 New York City, NY One World Trade Center, 10007 2
What qualifies for reasonable accommodation?
For example, maybe the employer needs more information about your disability and how your limitations or restrictions affect your ability to perform the essential duties of the job. Or perhaps the accommodation you requested isnt reasonable or will cause an undue hardship for the employer.
What documentation is needed for a reasonable accommodation request?
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
Why would a reasonable accommodation be denied?
Dear [Insert employers name here]: I have been having medical issues that have affected my mood, sleep schedule, concentration, and focus. I would like to request accommodations so that I might be able to perform my job effectively before my performance starts to suffer.
Related Searches
Reasonable accommodation request form PDFForm oraa004GSA formsGSA Form 90GSA reasonable accommodation policyVA form 0857aGSA Form 1364GSA Form 1204
People also ask
What are the 5 common means of reasonable accommodation?
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.
Related links
Confirmation of Reasonable Accommodation Request
Aug 29, 2024 Forms. Confirmation of Reasonable Accommodation Request (Disability). Information. Form Number: GSA3676; Current Revision Date: 08/2024
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