Reasonable Accommodation Letter: Service Dog

 Date: ________________________

Employee's Name: __________________________________________

Phone: ________________________      

Email:_________________________

Job title: _______________________      

Department:____________________

Supervisor's name: __________________________________________



I am requesting the following reasonable accommodation(s):



Please see the following attached documents: 


  • list of documents supporting your request that have been attached


Answer to the two ADA questions:


  1. Is the dog a service dog required for a disability?

       2. What work or task has the dog been trained to perform? 

                  





Employee signature: _________________________________________


Date: ___________








Links for you to print and add:


https://www.eeoc.gov/newsroom/eeoc-sues-hobby-lobby-disability-discimination


https://www.ada.gov/regs2010/service_animal_qa.html


https://beta.ada.gov/topics/service-animals/


https://www.ada.gov/service_animals_2010.htm

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