Forms → Public → ADA Accommodations → EMPLOYEE REQUEST FOR ADA ACCOMMODATION

EMPLOYEE REQUEST FOR ADA ACCOMMODATION

About this Form

Form number: 270-6

Audience:  MCPS Staff

Last revised: June 2021

Employees should use this form when requesting an accommodation or modification under the Americans with Disabilities Act Amendments Act (ADAAA) of 2008. Employees are highly encouraged to use the electronic version of this form found online. This form will allow you to submit your request and upload documentation: Click Here to use the Online Form. Forms and questions can also be emailed to ADArequests@mcpsmd.org.

Adobe PDF EMPLOYEE REQUEST FOR ADA ACCOMMODATION445 KEnglish

Forms require Adobe Acrobat Reader 8 or higher. Get Acrobat