"Administrative Accommodation Request Form for Health-Related Conditions" - New York

Administrative Accommodation Request Form for Health-Related Conditions is a legal document that was released by the New York State Board of Law Examiners - a government authority operating within New York.

Form Details:

  • The latest edition currently provided by the New York State Board of Law Examiners;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the New York State Board of Law Examiners.

ADVERTISEMENT
ADVERTISEMENT

Download "Administrative Accommodation Request Form for Health-Related Conditions" - New York

Download PDF

Fill PDF online

Rate (4.6 / 5) 9 votes
NEW YORK STATE BOARD OF LAW EXAMINERS
Corporate Plaza, Building 3, 254 Washington Ave. Ext., Albany NY 12203
Fax Number: (518) 452-5729
Administrative Accommodation Request Form For Health-Related Conditions
ALL REQUESTS MUST BE SUBMITTED WITH APPROPRIATE SUPPORTING MEDICAL DOCUMENTATION
Candidates must remain seated with their face in full view of the webcam for the entire duration of each 90-minute
test session of the July 2021 remotely-administered exam. All candidates are permitted to use a lumbar cushion or
support device during each test session, as well as have necessary prescription medication in the testing area.
Candidates are not allowed to eat during any session or have prohibited items in the testing area (water or another
beverage in a clear container with labels removed is permitted). Candidates will have a 30-minute (or more) break
between each 90-minute test session. During breaks, the webcam is off, and candidates may step away from their
computer (webcam is off) to eat, stretch, use the restroom, etc.
Candidates with a health-related condition requiring food or possession and/or use of a medical device (such as
diabetic supplies) during any 90-minute test session exam or the need to test over four days must submit this form to
the Board no later than Tuesday, June 1, 2021 for the July 27-28, 2021 exam. If the need for an administrative
accommodation arises after this deadline, a request may be made by submitting this form along with supporting
documentation but the Board cannot guarantee that time will permit the request to be considered. This form is not
to be used for requests for extra testing time or testing accommodations under the ADA.
Name:
______
BOLE ID:
__________________
Nature of Request:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Explanation for Request:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
BOLE ID: ______________________________
Applicant’s Signature: ______________________________Date: ____________________
NEW YORK STATE BOARD OF LAW EXAMINERS
Corporate Plaza, Building 3, 254 Washington Ave. Ext., Albany NY 12203
Fax Number: (518) 452-5729
Administrative Accommodation Request Form For Health-Related Conditions
ALL REQUESTS MUST BE SUBMITTED WITH APPROPRIATE SUPPORTING MEDICAL DOCUMENTATION
Candidates must remain seated with their face in full view of the webcam for the entire duration of each 90-minute
test session of the July 2021 remotely-administered exam. All candidates are permitted to use a lumbar cushion or
support device during each test session, as well as have necessary prescription medication in the testing area.
Candidates are not allowed to eat during any session or have prohibited items in the testing area (water or another
beverage in a clear container with labels removed is permitted). Candidates will have a 30-minute (or more) break
between each 90-minute test session. During breaks, the webcam is off, and candidates may step away from their
computer (webcam is off) to eat, stretch, use the restroom, etc.
Candidates with a health-related condition requiring food or possession and/or use of a medical device (such as
diabetic supplies) during any 90-minute test session exam or the need to test over four days must submit this form to
the Board no later than Tuesday, June 1, 2021 for the July 27-28, 2021 exam. If the need for an administrative
accommodation arises after this deadline, a request may be made by submitting this form along with supporting
documentation but the Board cannot guarantee that time will permit the request to be considered. This form is not
to be used for requests for extra testing time or testing accommodations under the ADA.
Name:
______
BOLE ID:
__________________
Nature of Request:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Explanation for Request:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
BOLE ID: ______________________________
Applicant’s Signature: ______________________________Date: ____________________