Americans with Disabilities Act (ADA) Accommodations


Americans with Disabilities Act (ADA) Accommodations

If you would like more information, please contact Consultation & Accountability:

Carrie Hughes, Personnel Analyst; cphughes@admin.nv.gov or (775) 684-0111

Denise Woo-Seymour, Supervisory Personnel Analyst; dseymour@admin.nv.gov or (775) 684-0149 

    Form Title  Word  PDF Revision Date
    Essential Functions Position Analysis ADA-01 ADA-01 1/2017
    Physical & Cognitive Characteristics Inventory      ADA-02 ADA-02 1/2017
    Position Functions ADA-03 ADA-03 1/2017
    Job Modification/Assistance Request/Intake Form      ADA-04 ADA-04 1/2017
    Reassignment Request      ADA-05 ADA-05 1/2017
    Job Development form (used with a Reassignment Request) ADA-06 ADA-06 9/2017
    Medical Inquiry in Response to Accommodation Request NPD-86   11/2015
    Reasonable Accommodation - Agency Response Form NPD-87 NPD-87 4/2013
    Reassignment Fact Sheet        Fact Sheet 7/2019