OUR MISSION. The Office for Accessibility and Gender Equity has provided a Medical Certification Form (found above) to support employees in obtaining this information from their medical providers. ^v0矎Zo�Ξ_��J�}/w�:�\)�SS@ѥ����g$Mr=!��p��N����ML@SL��i ���f_3H[00�,���� � �~� PK ! These modifications enable an individual with a disability to have an equal opportunity not only to get a job, but successfully perform their job tasks to the same extent as people without disabilities. endstream endobj 267 0 obj <. The Office for Accessibility and Gender Equity does not share medical information provided by the employee with the department or unit in which they work. 319 0 obj <>/Filter/FlateDecode/ID[<390DD8F9181DF74B848DAD991D97F023><3D9363C277C1F9498834AB91A65C8913>]/Index[266 93]/Info 265 0 R/Length 115/Prev 73808/Root 267 0 R/Size 359/Type/XRef/W[1 2 1]>>stream The reasonable accommodation request form can be submitted electronically, faxed, or mailed. INSTRUCTIONS FOR COMPLETING THE MEDICAL CERTIFICATION FORM Under the Americans with Disabilities Act (ADA), a qualified employee with a disability may request reasonable accommodations by engaging the interactive process with their employer. 358 0 obj <>stream %PDF-1.6 %���� Apply to Ancilla College. Employees seeking accommodations related to medical conditions that the CDC guidelines have identified as related to increased COVID-19 risks must submit the COVID-19 accommodation request forms to initiate the interactive process. The Office will only share information regarding the accommodation requested. Accommodations are considered “reasonable” if they do not create an undue hardship or a direct threat. A reasonable accommodation is any change to the application or hiring process, to the job, to the way the job is done, or the work environment that allows a person with a disability who is qualified for the job to perform the essential functions of that job and enjoy equal employment opportunities. Employees seeking an ADA accommodation may complete the accommodation request form linked below and submit it along with medical documentation of the disability to initiate the interactive process. Under Title I of the Americans with Disabilities Act (ADA), a reasonable accommodation is a modification or adjustment to a job, the work environment, or the way things are usually done during the hiring process. h�b```"6�~���3�0p`�@u�����;3�ɤ_�����H�����^�^��a�v�r��,����@ ��b3����p] Hq8ئ:^��L�6�6�0�`X�V����ՐN�#f8g�[b7=~�3 ���nXʻ5.#�Հ���`�� ��g07�1�f�Ö��h�����dC�cF�L3��002. Find your major at Ancilla College. h�bbd``b`q�;A�V� To request an accommodation under the ADA to access court or OJD services If you need accommodations under the Americans with Disabilities Act (ADA), please click on the Request for ADA Accommodations form to fill out a request. DOL provides reasonable accommodations to applicants for DOL employment and DOL employees with disabilities. An accommodation is a change in work rules, facilities, or conditions which enable an individual with a disability to apply for a job, perform the essential functions of a job, and/or enjoy equal access to the benefits and privileges of employment. %%EOF F0�D��Y��A�} �%�b� 1��@��XuAD�G� ��� "ށ�� �? ER: ADA Request for Accommodation Form 03/27/2020 #912 Page 2 of 3 (b) The overall financial resources of the facility or facilities involved in the provision of the reasonable Office for Accessibility and Gender Equity. ACADEMICS. @�+ ALUMNI. ADA Accommodation Form * * * * * * * * * * * * * * * * * * * * * RESOURCES. If you would like additional information on the interactive process for employee accommodations please visit the page linked below. endstream endobj startxref sample ada accommodation form - physician confidential please return to [employee /patient] or [contact person at company: name and title and include phone number] at [company name and address] in a confidential manner company name requests that the treating physician(s) of employee name Brightspace Apply to Ancilla myAncilla. Office for Accessibility and Gender Equity Give to Ancilla College Request a Transcript. @ #�_�@��B���g��=ؽ��� For more information, please refer to the Department of Labor Manual Seri… aDե [Content_Types].xml �(� ���n�0E����D���(,g����@]tM�#��� g��������&��ȹ�pH]�-֐�_�a5x���Z��}+��Iy���;@q?��a4�E���=�bI�J�z Na"xiBr��5-dT��Z���I=B�V-�->�$hQ���W-T��Պ�T���ǥ. Once a form is submitted or a verbal request is made, the Office for Accessibility and Gender Equity will assign the request to an ADA Case Manager. 266 0 obj <> endobj 0 Once a form is submitted or a verbal request is made, the Office for Accessibility and Gender Equity will assign the request to an ADA Case Manager for processing. University of FloridaGainesville, FL 32611UF Operator: (352) 392-3261Website text-only version, can be submitted electronically, faxed, or mailed. �MH0� ��@������q/�d�!I�g�� ` Db)I Academic Calendar Degree Programs Course Schedules. These PDF documents can be downloaded here: Please take note that no accommodation request can be processed without the attachment of a medical provider's certification of the employee's disability. The reasonable accommodation request form and the Medical Certification Form or letter on letterhead from the treating medical provider can be submitted electronically, faxed, or mailed.

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