Laserfiche WebLink
Reasonable Accommodation Request Form - DHR EO O10 CONFIDENTIAL <br />Job Application Process <br />Page 2 of 2 <br />Reason for the accommodation request <br />What limitations) is/are interfering with your ability to apply for a position? <br />Documentation provided:] <br />❑ Yes ❑ No <br />Signature <br />For County use only: <br />Received by: <br />Name <br />Date <br />Date <br />The requirement for documentation of applicant's limitation(s) is only permissible when <br />the need for accommodation is not obvious. <br />