Reasonable Accommodation Request Form - Nebraska

Reasonable Accommodation Request Form - Nebraska

Reasonable Accommodation Request Form is a legal document that was released by the Nebraska Department of Administrative Services - a government authority operating within Nebraska.

FAQ

Q: What is a reasonable accommodation?A: A reasonable accommodation is a modification or adjustment to a job, the work environment, or the way things are usually done that enables an individual with a disability to have an equal opportunity to participate in the application process, perform essential job functions, or enjoy equal benefits and privileges of employment.

Q: Who can request a reasonable accommodation?A: Any individual with a disability, or someone representing an individual with a disability, can request a reasonable accommodation.

Q: What should be included in a reasonable accommodation request form?A: A reasonable accommodation request form should include the employee's name, contact information, a description of the requested accommodation, and any supporting documentation.

Q: Who should receive the reasonable accommodation request form?A: The reasonable accommodation request form should be submitted to the individual's supervisor, human resources department, or designated ADA coordinator, as specified by the employer's policies or procedures.

Q: What happens after submitting a reasonable accommodation request form?A: After submitting a reasonable accommodation request form, the employer is required to engage in an interactive process with the individual to determine if the requested accommodation is reasonable and can be provided without causing undue hardship to the employer.

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Form Details:

  • Released on June 1, 2022;
  • The latest edition currently provided by the Nebraska Department of Administrative Services;
  • 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 fillable version of the form by clicking the link below or browse more documents and templates provided by the Nebraska Department of Administrative Services.

Download Reasonable Accommodation Request Form - Nebraska

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