Gsa form 3676 fillable-2026

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  1. Click ‘Get Form’ to open the GSA Form 3676 in the editor.
  2. 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.
  3. Next, indicate the date of your request. This is crucial for processing your accommodation in a timely manner.
  4. In the 'Need' section, check one of the options provided: whether it pertains to application processes, job functions, or accessing benefits.
  5. Specify the type of accommodation needed by listing items such as adaptive equipment or assistance required.
  6. If applicable, provide reasons for your request in detail. If time-sensitive, explain why urgency is necessary.
  7. Finally, sign and date the form at the bottom to validate your request before submitting it through our platform.

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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.
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
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.
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
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.

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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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