Americans with Disabilities Act (ADA)

Employee Accommodation Request Checklist

The Employee Accommodation Request Checklist is to aid supervisors when an employee is communicating the presence of a disability and/or requesting an a accommodation.

Step 1:
(Without assuring the employee that an accommodation will be granted or discussing the accommodation in any detail…)

Gather the following information:

1) Access the Americans With Disabilities (ADA) forms, which include:
  • Employee Request for Accommodation Form
  • Medical Professional’s Documentation of Disability
  • Accommodation Evaluation Form

2) Review the Employee Work Profile (EWP)

Step 2:
The employee must complete the Employee Request for Accommodation form and have his/her medical professional complete the Medical Professional’s Documentation of Disability form.
Step 3:
The employee will need to return the forms filled out completely. Determine if the employee has a qualifying disability by evaluating the Medical Professional’s Documentation of Disability form
Step 4:
Compare the Medical Professional’s Documentation of Disability form and the Employee Work Profile.
Step 5:
Contact Human Resources for assistance completing the Accommodation Evaluation Form.  The Human Resources Benefits Specialist and the supervisor will discuss the request, evaluate the requested accommodations and determine if the requested accommodation is reasonable, and propose alternatives.

If you have questions about the Americans with Disabilities Act (ADA) or need assistance with the accommodation request process for an employee, contact Human Resources, All other inquires should contact the Office of Disability Services.


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