Request for Reasonable Accommodation of a Disability for Job Applicants

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All information received for reasonable accommodations shall be handled with sensitivity.

This form is intended to assist applicants with the request of accommodations due to a disability during the search and hiring process. Federal law requires employers to provide reasonable accommodations to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job.

This is NOT an inquiry form about details of a job posting or status of an application.

This is intended ONLY for accommodation requests for candidates with disabilities.

Please DO NOT provide confidential information here. IF needed medical documentation will be collected at a later date.

Is this an inquiry for an ADA accommodation due to a disability?

If you need information about reasonable accommodations or how the ADA protects applicants with disabilities please refer to this fact sheet.

Yes

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