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DHR EO 015 <br />(Re -issued: July 2018) <br />CONFIDENTIAL <br />County of Hawaii <br />Department of Human Resources <br />Documentation of Temporary Accommodation <br />To: From: <br />(Employee) (Supervisor) <br />Department/Agency <br />On you requested a reasonable accommodation: <br />(date) <br />. ... ,.__.w.... requested)._��.....����.........�. ......... ........... <br />(name the accommodation <br />We are in the process of considering your request for reasonable <br />accommodation on a permanent basis. In the interim, while we consider your <br />request, we will provide you with the following temporary accommodation: <br />until <br />(date) <br />Please be advised that this accommodation is being made on a temporary basis <br />until we have thoroughly considered your request, and no promise or guarantee <br />that this accommodation will be provided on a regular or permanent basis is <br />being made to you. <br />Please sign below to indicate that you understand this accommodation is being <br />provided on a temporary basis. <br />I understand this accommodation is being provided on a temporary basis only <br />until a decision about my request for accommodation is made and <br />communicated to me. <br />Employee Date <br />