Reasonable Accom Proc Form Amended

Home

Reasonable Accommodation Checklist Page 3 of 5 1 1.The major life activities that are substantially limited are N N 12.There was no need to request additional medical information because o the need for accommodation was obvious; o the need for accommodation was established by a previous accommodation request; o sufficient medical information was provided by the employee or the employee's medical professional. 13.If additional medical information was required, o the ARM was notified, o the ARM processed the request for additional medical information. 14.If additional medical information was required, the ARM used DHR Form EO 014 Employee Authorization for Release of Medical Information. Yes No 15.If additional medical information was required, the ARM referred to Form DHR EO 14A or 14B, Confidential Request for Medical Information and TIPS FOR REQUESTING MEDICAL INFORMATION: Yes No 16.If additional medical information was required, the fifteen day period for considering the reasonable accommodation request was suspended until sufficient medical information was received. Yes No 17.If the individual who requested an accommodation was an employee, the decision maker engaged in the interactive process by o meeting/speaking with the employee to identify the essential functions of the employee's position, o determining the precise job -related limitations imposed by the disability, o identifying potential accommodations, o assessing the effectiveness of each potential accommodation in enabling the individual to perform essential functions of the position, o considering the preference of the individual with a disability, o selecting and implementing the most appropriate accommodation for the employee and the employer.