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Americans with Disabilities Act (ADA) Accommodations

Americans with Disabilities Act (ADA) Accommodations

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

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

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

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