Minnesota ADA Accomodation Request Form

State:
Minnesota
Control #:
MN-SKU-0305
Format:
PDF
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Description

ADA Accomodation Request Form

Minnesota ADA Accommodation Request Form is a document that employees with disabilities can submit to their employer to request reasonable accommodation under the Americans with Disabilities Act (ADA). The document is used to provide information about the disability and the requested accommodation. It is important for employers to understand the employee’s disability and the reasonable accommodation requested to determine if the accommodation is reasonable. The Minnesota Department of Human Rights provides two versions of the ADA Accommodation Request Form: one for employers and one for employees. The Employer version of the form includes questions about the employee’s disability, the type of accommodation requested, the duration of the requested accommodation, and any alternative accommodations that may be available. In addition, the form requires that the employer provide information about the cost of the accommodation and any potential adverse impact on the employee’s work performance. The Employee version of the form includes questions about the employee’s disability, the type of accommodation requested, the duration of the requested accommodation, and any suggestions for alternative accommodations. The form also requires that the employee provide information about the cost of the accommodation and any potential adverse impact on the employee’s work performance. The Minnesota ADA Accommodation Request Form is an important tool in ensuring that employers and employees are in compliance with the ADA. By completing the form, employers and employees can ensure that reasonable accommodations are requested and provided in a timely manner.

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FAQ

Dear Employee name: On date, you informed name and title of your medical condition and requested a job accommodation to be able to perform your job functions. Company Name complies with the Americans with Disabilities Act (ADA), and we want to support you in continuing to perform your job duties.

Civil rights laws require an employer to reasonably accommodate an individual's disability and/or religious beliefs or practices unless doing so would impose undue hardship on an employer. Reasonable accommodations support current and prospective employees.

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.

?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.

Providing an assistant as needed may be a reasonable accommodation for a person with a disability, if this does not impose an undue hardship. Examples include: An assistant may be needed to retrieve items on shelves, file, or selectively assist a person with quadriplegia with other clerical duties.

You may make this request initially to whomever you are most comfortable with. Make your request in writing and use the phrase: ?I am requesting a reasonable accommodation under the ADA.? This helps create a clear record of your request and helps your employer know that your request should be taken seriously.

What types of accommodations are generally considered reasonable? Change job tasks. Provide reserved parking. Improve accessibility in a work area. Change the presentation of tests and training materials. Provide or adjust a product, equipment, or software. Allow a flexible work schedule.

I work at (Company Name) as a (Your Job Title) and have been in this position since (Date). I am writing to request that you provide (list accommodation needed here) as a reasonable accommodation under the ADA.

More info

A sample form for an employee to request an accommodation due to disability. This form and any supporting materials or information is confidential and should be kept separate from an employee's personnel file.Attach additional pages as needed. The most widely requested form JAN offers is the Sample Medical Inquiry Form in Response to an Accommodation Request. Helpful resources about reasonable accommodations. Make your request in writing and use the phrase: "I am requesting a reasonable accommodation under the ADA. A request for reasonable accommodation is the first step in an informal, interactive process between the employee and the employer. The DTS requires a complete evaluation of the candidate as well as the completed and signed. Testing Accommodations Request Form (see below). ADA Accommodation Request Form.

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Minnesota ADA Accomodation Request Form