Toll Free Number Toll-Free 1-800-745-9970 | Chat Live Chat
Search:  
ADA Accommodation Medical Request Form PDF Download


ADA Accommodation Medical Request Form PDF Download

 
ADA Accommodation Medical Request Form PDF Download
SKU: FED2715PDF |   E-mail this product to a friend
Share: 
Our Price:   $9.95
Options:
 
Quantity: 
Get the Poster Plus the Updates – Free Unlimited Shipping Details
Chat Button
 
 
According to the ADA, employers should make reasonable accommodations for employees with disabilities. These accommodations should help employees to perform the functions of their jobs more easily and comfortably. For example, if an employee is bound to a wheelchair, the employee may request that the employee provide a lower work station with enough space to accommodate the wheelchair.

Employees are responsible for making Accommodation Requests if they have special needs that are covered by the ADA. In order to make a request, employees should submit a formal request letter to the employer along with an Accommodation Medical Release Form, which allows employers to obtain medical information about the employee from a treating medical practitioner.

The Medical Request Form should be completed by a physician or other medical practitioner who has treated or seen the employee with the disability. The medical practitioner should provide information about how the disability impacts the employee’s lifestyle and ability to perform the essential functions of the job (if applicable). The medical practitioner should also provide information about how an accommodation should allow the employee to complete his or her job requirements more easily or comfortably.

Who is Covered by the ADA

The ADA applies to:
  • Private sector employers with at least 15 employees
  • Employment agencies
  • Labor organizations
  • Joint labor/management committees
  • State, local, and federal government entities

All employees and job applicants are covered if they work for, have worked for, or are applying to work for a covered employer. In order for individuals to be covered, they need to have a qualifying disability, which often includes a recognized physical disability.

Properly accommodate and document a leave by obtaining the correct form initially with the Accommodation Medical Request Form.
Product Specifications:
  • This form is 8.5" x 11" 
  • Downloadable PDF

 
Customer Testimonials

"No additional comments really. Just great service and help from Kelly Peterson. She always gets right back to me and the posters are shipped on time. Thanks!"

—Kim, Roseville, CA
Business Services
 
 
Recently Viewed Products


Retail Solutions Kit
Retail Solutions Kit
Mystery Shopping Report Form
Mystery Shopping Report Form
New York Organized Camps IA 318.16
New York Organized Camps IA 318.16
Retail Sales Standards Acknowledgement Form
Retail Sales Standards Acknowledgement Form
 
SATISFACTION GUARANTEE
LaborLawCenter™ stands behind
our products through our 180-Day
Satisfaction Guarantee. For
assistance, contact us
at 1-800-745-9970.




Connect with LaborLawCenter™ on
Facebook, Twitter, LinkedIn & Google+
 
McAfee Secure sites help keep you safe from identity theft, credit card fraud, spyware, spam, viruses and online scams 90 Days Shipping Work Green

CALL US TOLL FREE

800-745-9970

s
s