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Reasonable Accommodation Work Sheet - Confidential - DHR EO 01 6A <br />Page 5 of 5 <br />12. If the considered accommodation (s) would create an undue hardship, this must <br />be confirmed by Department Head. <br />I confirm that, as noted in #11, the requested accommodation (s) would create an <br />undue hardship to the department. <br />Department Head Signature: <br />Date: <br />13. If the considered accommodation (s) would create an undue hardship, is there <br />another accommodation (s) available? If yes, please <br />explain. <br />Comments: <br />14. Follow-up <br />Date: <br />Equal Opportunity Officer/ADA Coordinator <br />