Accommodation Request Letter Format

State:
Multi-State
Control #:
US-216EM
Format:
Word; 
Rich Text
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Description accommodation letter format

This form may be used to assist a company in determining to what extent a reasonable accommodation is required.

Accommodation Request Letter Format: An accommodation request letter is a formal written document used to request specific accommodations or modifications in a professional or personal setting. This letter is typically directed towards an individual or organization responsible for providing such accommodations. It serves as a means for individuals with disabilities or special needs to communicate their requirements and ensure equal opportunities. The structure of an accommodation request letter typically includes the following components: 1. Sender's Information: Begin the letter with your full name, address, phone number, and email address, ensuring that all essential contact details are included. This information allows the recipient to respond appropriately. 2. Receiver's Information: Below your contact information, provide the recipient's name, position, and organization along with their address. This helps to ensure that your request reaches the relevant party and facilitates prompt action. 3. Salutation: Address the recipient formally, using "Dear Mr./Ms./Dr. [Last Name]." If the recipient's name is not known, you can use a general salutation such as "To Whom It May Concern." Remember to use appropriate titles or designations to demonstrate professionalism. 4. Introduction: Begin the letter by stating the purpose of your request. Be clear and concise, explaining that you are seeking accommodations or modifications to address specific needs or challenges you face. 5. Background Information: Provide a brief overview of your situation and why you require accommodations. Mention any relevant medical, physical, or personal circumstances that justify your request. Focus on facts and avoid emotionally charged language. 6. Specific Accommodation Request: Clearly state the type of accommodation you are requesting. Be specific and detailed, ensuring the recipient understands exactly what is being sought. This could include reasonable adjustments to work hours, workplace accessibility, assistive technologies, or any other relevant accommodation. 7. Justification: Explain why the requested accommodation is necessary to ensure equal opportunities, productivity, or safety within the given environment. Support your request with factual information, medical documentation, or testimonials if available. 8. Supporting Documents: If applicable, attach any supporting materials such as medical reports, diagnostic assessments, or previous accommodation letters. These documents further strengthen your request and demonstrate the authenticity of your needs. 9. Closing: Conclude the letter with a polite closing, such as "Thank you for your time and consideration" or "I appreciate your attention to this matter." Sign the letter with your full name and include any additional contact information if necessary. 10. Enclosure Line: If you have included any supporting documents, add an "Enclosure" or "Attachments" line below your signature to indicate that additional items are included. There are several types of accommodation request letters depending on the specific context, including but not limited to: 1. Accommodation Request Letter for Employment: Used by individuals with disabilities to request reasonable accommodations in the workplace. 2. Accommodation Request Letter for Housing: Submitted by tenants or prospective renters seeking modifications or adaptations to existing housing arrangements to accommodate disabilities. 3. Accommodation Request Letter for Education: Sent by students or parents requesting academic accommodations or modifications to support learning or physical disabilities in educational institutions. 4. Accommodation Request Letter for Events: Used to request accessibility accommodations for conferences, seminars, workshops, or other public events. Remember, the specific format and content of an accommodation request letter may vary depending on the circumstances, but the elements mentioned above serve as a guideline when drafting such a letter.

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sample letter for accommodation request Other Form Names

letter for accommodation request  

FAQ

Examples of Reasonable Accommodations Acquiring or modifying equipment or devices such as adjusting a desk height to accommodate an employee who uses a wheelchair or providing an employee with quadriplegia a mouth stick device to type on their computer.

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.

?We value inclusion and access for all participants and are pleased to provide reasonable accommodations for this event. Please contact [insert contact name and email/phone number] to make a reasonable accommodation request. Requests must be submitted by [insert date].? ?This event is wheelchair accessible.

Because of my disability, I need the following accommodations: [LIST ACCOMMODATIONS]. A medical provider has prescribed this accommodation for my disability. I would like to meet with you to discuss these and any other accommodations that will enable me to have an equal opportunity to live in and enjoy this residence.

I am the parent of [student name], who attends [name of school]. [Student name] has recently been diagnosed with [disability], which impacts [his/her] educational performance and needs. [Student name] is making little to no progress and as a result is experiencing increased stress and frustration.

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(Contact at Human Resources Department): I work at ________(Company Name) as a ________(Your Job Title) and have been in this position since ____ (Date). Sample of Letter to Request Reasonable Accommodation.My name is (your name) and a student in your (course name and number) course. This letter is in response to your request for an accommodation to perform the essential functions of your position. Sample of Letter to Request Reasonable Accommodation. This letter is in response to your request for an accommodation to perform the essential functions of your position. ADA Request Letter. DATE. NAME. ADDRESS. Sample Accommodations Request Letter. You may still need to complete other request forms (such as a notetaking or exam request form) in order to actually receive your accommodations. Remember that the Letter of Accommodations is just the first step in implementing your accommodations.

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How To Write A Reasonable Accommodation Request Letter