Reasonable Accommodation Request Medical Certification

Last UpdatedFebruary 10, 2021
Total Files1
Version2021

This form should be provided to employees to pass on to their healthcare provider in order to obtain medical certification regarding accommodation(s). Please see the Easy Steps for a full guide on the Reasonable Accommodation packet.


Download
File
1612936028wpdm_ADA00002 Reasonable Accommodation Request Medical Certification.pdf
Note: This sample form is provided as a tool for employers. This form is general in nature, and may not be required by law. ManagEase is not a law firm. This form does not constitute legal advice, nor is any attorney-client relationship created or implied. Prior to using this form, we recommend that you consult with an attorney knowledgeable in any potentially applicable federal and/or state laws regarding the specific intended use of this form.
0 replies

Leave a Reply

Want to join the discussion?
Feel free to contribute!

Leave a Reply