If your doctor overstates the need for a particular accommodation and the employer is unable to provide it the employer may conclude that no reasonable accommodation exists that would allow you to do your job. The accommodation will begin or began on date and end based upon future doctor visits.
Please keep this request for accommodation confidential as required by federal law.
Sample reasonable accommodation letter from doctor. Your health care providers letterhead date to whom it may concern. Letter from provider doctor counselor nurse case worker etc s. Disability support and self advocacy in hud section 8 and low income housing.
If you would like help making this request and you are a maine resident who is 60 or older call the legal services for the elderly helpline at 1 800 750 5353. This is a temporary accommodation not. Doctors name sample demand letter tenants name address phone number date dear landlord or property manager.
I am writing to request that you make a reasonable accommodation for my disability. It was created to assist you while you are recovering. One from you one from your doctor.
Sincerely signature dr. The description of the modifiedalternate employment is as follows include description of accommodation here. Sample disability accommodation letters for housing.
Ask your doctor to provide you with a copy of the letter so youll know exactly what information your employer is using to make its. You may want to attach a letter from your doctor briefly describing your condition and limitations. Under the fair housing amendments act it is unlawful discrimination to deny a person with a disability a reasonable accommodation of an existing building rule or policy if such accommodation may be necessary to afford such person full enjoyment of the premises.
This accommodation is necessary to ameliorate the conditions of patient s disability. Sample reasonable accommodation letters and stories from the members of. If you are looking for accommodations in housing look here instead.
Supporting need for accommodation under ada or feha. Heres an example of a reasonable accommodation leter written by an employee who has depression and needs some scheduling changes. Or you could offer to provide such documentation on request.
Other than leave of absence. Letter from provider doctor counselor nurse case worker etc s. 11 sample doctors letter ra other than loa 00340323doc.
If you are requesting a disability accommodation in your workplace below are two sample letters. Sample reasonable accommodation letter.
Sample Accommodation Request Letter
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