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Workplace Accommodation Follow-Up Form - Free HR Template | ZenBuild | ZenBuild

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Workplace Accommodation Follow-Up Form

Collect follow-up information from employees with active accommodations to assess whether current measures remain effective.

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Workplace Accommodation Follow-Up Form

Collect follow-up information from employees with active accommodations to assess whether current measures remain effective.

Employee Name*

Work Email*

Department*

Original Accommodation Approved*

Date Accommodation Was Implemented*

How effective has your current accommodation been? (1=not effective, 5=very effective)*

Is your current accommodation still meeting your needs?*

Yes - fullyYes - partiallyNo

If partially or not meeting needs, please describe what is lacking

Are you requesting a modification to your accommodation?*

YesNo

Describe the requested modification

Template Details

CategoryHR

IndustryHuman Resources

Fields10

Uses0

Views1

accommodationfollow-updisabilityADA