Reasonable Accommodation Request Form ADA Disability Related
The Reasonable Accommodation Request Form (RARF) must be used by employees to request accommodations due to a documented disability. The form includes submission instructions and necessary fields for providing contact and accommodation details. It also requires medical certification if needed, and information about the approval process.
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How do I fill this out?
Start by carefully reading the provided instructions. Complete all the necessary fields with accurate information about your contact details and disability-related accommodation request. Submit the form as instructed along with any required medical certifications.
How to fill out the Reasonable Accommodation Request Form ADA Disability Related?
1
Review the Americans with Disabilities Act and Reasonable Accommodation Policy & Procedures.
2
Complete the form with your personal and contact information.
3
Describe your physical and/or mental impairment(s) and how they affect your job.
4
Propose specific accommodations.
5
Submit the form to the ADA Coordinator along with any necessary documentation.
Who needs the Reasonable Accommodation Request Form ADA Disability Related?
1
Employees seeking accommodations due to a documented disability.
2
Applicants requiring reasonable adjustments during the hiring process.
3
Staff members facing changes in their work environment or responsibilities due to a disability.
4
Faculty needing assistance to perform their job duties effectively.
5
Individuals who need to request specific accommodations for their job role due to disability-related reasons.
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Click on the text fields to enter or update your information.
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Review the form to ensure all information is accurate.
5
Save your edited form for submission.
What are the instructions for submitting this form?
Submit the completed Reasonable Accommodation Request Form to Dana Norton, ADA Coordinator, at 6200 University Center, Bldg. A, Tallahassee, FL 32306-2410. You can also submit via fax at (850) 645-9504 or electronically to HR-ADA@fsu.edu. Ensure all necessary documentation, including the Medical Certification of Disability form if required, is included with your submission. Make sure to keep copies of all submitted documents for your records.
What are the important dates for this form in 2024 and 2025?
No specific important dates mentioned for 2024 and 2025.
What is the purpose of this form?
The purpose of the Reasonable Accommodation Request Form is to provide a standardized method for employees to request accommodations due to a documented disability. This form ensures that all relevant information is collected, including contact details, the nature of the disability, and proposed accommodations. By using this form, the ADA Coordinator and approving authorities can effectively assess and provide appropriate accommodations to qualified individuals, ensuring compliance with ADA guidelines.A standardized approach helps streamline the process, avoid miscommunication, and maintain consistency in handling accommodation requests. The information captured in this form allows for an interactive process between the employee, the ADA Coordinator, and the approving authority to determine the most suitable and reasonable accommodations under the given circumstances. Ultimately, the goal is to support employees in performing their job duties effectively while upholding legal and policy requirements.
Tell me about this form and its components and fields line-by-line.
- 1. Contact Information: Includes fields for name, employee ID, FSU affiliation, phone number, email, college/division, department, job title, supervisor, work location, and work schedule.
- 2. Accommodation Request: Fields to describe the physical and/or mental impairment(s), how the impairment(s) affect job performance, and the proposed accommodation(s).
- 3. Release of Information: Authorization section for the release of information to Florida State University for the purpose of determining the appropriateness of the requested accommodation(s).
- 4. Signature and Date: Fields for the requestor's signature and date to validate the form.
What happens if I fail to submit this form?
If you fail to submit the Reasonable Accommodation Request Form, you may not receive the necessary accommodations for your disability, potentially affecting your job performance and well-being.
- Lack of Accommodations: You will not receive the reasonable accommodations needed to perform your job effectively.
- Job Performance Impact: Your ability to successfully complete your job duties may be compromised.
- Non-Compliance with ADA: Failure to submit the form may result in non-compliance with ADA guidelines and policies.
How do I know when to use this form?
- 1. Job Performance: When a disability affects your ability to perform your job effectively.
- 2. Work Environment: When changes in your work environment are needed due to a disability.
- 3. Application Process: When applicants require adjustments during the hiring process.
- 4. Job Duties: When specific accommodations are needed to perform job duties.
- 5. Faculty Requests: When faculty members need assistance to carry out their responsibilities.
Frequently Asked Question
What is the Reasonable Accommodation Request Form?
It is a form used by employees to request accommodations due to a documented disability.
How do I fill out the form on PrintFriendly?
Use the PDF editor to enter your information into the fillable fields and save the completed form.
Can I sign the form on PrintFriendly?
Yes, you can use the built-in signing tool to add your digital signature.
How do I submit the completed form?
Follow the submission instructions provided on the form, which may include email, fax, or physical submission.
Who needs to complete this form?
Employees, applicants, and faculty members seeking disability-related accommodations.
What information do I need to provide?
Your contact details, information about your disability, and the accommodations you are requesting.
Is medical certification required?
Yes, if determined necessary by the ADA Coordinator.
How can I share the form once completed?
Use PrintFriendly's sharing options to email the document or generate a shareable link.
Can I edit the form after submission?
No, once submitted, you cannot edit the form. Ensure all information is accurate before submitting.
Where can I find help with filling out the form?
Contact the Equal Opportunity Compliance & Engagement Office at (850) 645-1458.
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