Form ADM-302 - Sep 2017

The Request for Accommodations by Employees and Job Applicants with Disabilities form is used by individuals who require accommodations in the workplace due to a disability. The form should be completed and submitted to the employee's supervisor or the ADA coordinator for the employer. The form collects information about the individual's disability and the accommodations that are being requested.

Employees and job applicants with disabilities who require accommodations in the workplace.

This form should be submitted to the employee's supervisor or the ADA coordinator for the employer.