Edit, Download, and Sign the Written Confirmation of Request for Accommodation
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How do I fill this out?
To fill out this form, start by entering your personal details as indicated. Then, specify the accommodation you are requesting and the reasons for it. Finally, ensure that you submit the form to your immediate supervisor.
How to fill out the Written Confirmation of Request for Accommodation?
1
Enter your name and contact information.
2
Specify the accommodation requested with a detailed explanation.
3
Provide a reason for the accommodation.
4
Indicate if the accommodation is time-sensitive.
5
Submit the form to your supervisor for processing.
Who needs the Written Confirmation of Request for Accommodation?
1
Employees seeking workplace accommodations for disabilities.
2
HR departments managing accommodation requests.
3
Supervisors who need documentation of accommodation requests.
4
Local Reasonable Accommodation Coordinators assisting employees.
5
Veterans requesting specific work adjustments from the Department of Veterans Affairs.
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What are the instructions for submitting this form?
To submit this form, please give it directly to your immediate supervisor or the Local Reasonable Accommodation Coordinator (LRAC). Ensure you retain a copy of the completed form for your records. For inquiries or additional instructions, contact your HR department.
What are the important dates for this form in 2024 and 2025?
Key dates for this form include the submission deadlines set by your HR department. Be mindful of any specific timelines for accommodation requests, especially during peak submission periods in 2024 and 2025.
What is the purpose of this form?
The purpose of this form is to facilitate communication between employees and management regarding accommodation requests. It serves to document the request for reasonable accommodations, ensuring compliance with relevant laws and policies. By having a formal process in place, both employees and employers can better manage accommodation needs efficiently.
Tell me about this form and its components and fields line-by-line.
- 1. Name of Employee: The full name of the employee requesting accommodation.
- 2. Phone Number of Employee: Contact number to reach the employee.
- 3. Date of Request: The date on which the accommodation request is made.
- 4. Today's Date: The date the form is being filled out.
- 5. Email Address of Employee: Email for further communication.
- 6. Office of Employee: Department or office location of the employee.
- 7. Supervisor's Name: Name of the supervisor overseeing the employee.
- 8. Supervisor's Phone Number: Contact number for the supervisor.
- 9. Accommodation Requested: Details about the desired accommodation.
- 10. Reason for Request: Explanation for the accommodation need.
- 11. If Accommodation is Time Sensitive: A section to explain urgency if applicable.
- 12. Name of LRAC: Name of the local reasonable accommodation coordinator.
- 13. Phone Number of LRAC: Contact number for the LRAC.
- 14. Log Number Assigned: A tracking number given to the accommodation request.
What happens if I fail to submit this form?
Failure to submit this form can lead to delays in processing accommodation requests. Employees may miss out on crucial support without proper documentation. It's important to ensure all required fields are completed and submitted promptly.
- Delay in Request: Not submitting can result in a backlog and delayed accommodations.
- Lack of Documentation: Without submission, there is no official record of the request.
- Non-compliance Issues: Failure to submit might lead to non-compliance with VA policies.
How do I know when to use this form?
- 1. Disability Accommodation Requests: Use this form for formal requests related to disability accommodations.
- 2. Supervisor Communication: It facilitates clear communication between employees and supervisors.
- 3. HR Documentation: HR uses this form for processing and recordkeeping.
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