Request for ADA Reasonable Accommodation Form

If you require modifications in your work environment due to a disability, you can request reasonable accommodations under the Americans with Disabilities Act (ADA). This article provides essential information and step-by-step instructions on successfully submitting a request for accommodation through Human Resources (HR).

Step 1: Understand Reasonable Accommodations

Reasonable accommodations are adjustments or modifications provided to enable employees with disabilities to perform their job duties effectively. Examples include, but are not limited to:

Changes in work schedules
Modified equipment or furniture
Accessibility improvements

Step 2: Notify HR of Your Need for an Accommodation

The first step in the request process is to communicate your need for accommodation to HR:

Contact HR: hr@squishable.com or (646) 424-4332. Express that you are seeking reasonable accommodations due to a disability.
Request to Complete the ADA Reasonable Accommodation Form: HR will provide the Request for ADA Reasonable Accommodation Form.
Discuss Your Needs: If comfortable, provide a brief overview of your situation so HR can better understand your needs. Specific details are optional at this stage.

Step 3: Complete the ADA Reasonable Accommodation Form

Once you have the form, complete it as follows:

Personal Information: Include your name, job title, department, and contact information.
Requested Accommodations: Clearly outline the accommodations you believe would enable you to perform your job effectively.
Employee Signature: Sign and date the form to confirm your request.

Step 4: Obtain Healthcare Professional Documentation (if needed)

Your request for accommodations may require input from a healthcare professional. To have your form filled out:

Schedule an Appointment: Please contact your healthcare provider to discuss your condition and need for accommodations.
Present the Form: Provide the ADA Reasonable Accommodation Form to your healthcare professional. They will need to complete their section detailing your condition and the need for the accommodations you asked for.
Health Care Provider Signature: Ensure your healthcare provider signs and dates the form.

Step 5: Submit the Completed Form to HR

Once you have the form completed and signed, it's time to submit it to HR:

Review the Form: Double-check to ensure all sections are filled out correctly and that you and your healthcare provider have signed the form.
Submit the Form: Send the completed Request for ADA Reasonable Accommodation Form to hr@squishable.com
Keep a Copy: Keep a copy of the submitted form for your records.

Step 6: Await Review and Follow Up

After submitting the form:

HR Review: HR will review your request, which may include contacting you for more information. They may also reach out to your healthcare provider for additional information.
Decision Notification: You will receive a notification from HR regarding the decision on your accommodation request.

Step 7: Re-certify Your Accommodation (if needed)

In some cases, HR may require re-certification of your accommodation after a certain period. Here's how to navigate this step:

Understand Re-certification Requirements: Check with HR for specific conditions under which you may need to re-certify your accommodation, including timelines and documentation.
Gather Necessary Documentation: If required, contact your healthcare provider to obtain updated documentation or a new evaluation that supports your ongoing need for accommodation.
Complete and Submit Required Forms: Fill out any necessary forms provided by HR and submit all required documentation in a timely manner.
Maintain Open Communication: Keep in touch with HR regarding your accommodation status, and address any questions they may have about your ongoing needs.