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Reasonable Accommodation Procedures and Form for Reasonable Accommodation Requests

EPA Order 3110.21 Reasonable Accommodation Policy “Providing Reasonable Accommodations for EPA Employees and Applicants with Disabilities” provides agency policy and assigns responsibility for requesting and providing reasonable accommodations for EPA employees and applicants with disabilities. The EPA Procedures for Providing Reasonable Accommodation for EPA Employees and Applicants with Disabilities covers the process for how to make a request for a reasonable accommodation, or personal assistance services (PAS), medical documentation, confidentiality, timelines, granting or denial of a request, reassignment, etc. Additional information is provided about PAS in a separate reference guide.

To request an accommodation based on a disability, an EPA employee or applicant can use the Request for Reasonable Accommodation Form (Appendix B). The request can be made verbally or in writing. The form is not required.

To request Personal Assistance Services, an EPA employee can use the Appendix B form or make a request verbally or in writing. The form is not required.

  • EPA Reasonable Accommodation Procedures (October 2020) (pdf) (365.34 KB)
  • Request for Reasonable Accommodation Form-Appendix B (October 2020) (pdf) (135.37 KB)
    This is the form to use for a reasonable accommodation request. Updated in Oct 2020
  • EPA Order 3110.21 Reasonable Accommodation Policy Feb 2021 (pdf) (195.14 KB)
  • Personal Assistance Services (PAS) Reference Guide (pdf) (207.8 KB)
  • EPA Reassignment as a Reasonable Accommodation Standard Operating Procedure (SOP) (pdf) (187.77 KB)

For assistance, please contact the National Reasonable Accommodation Program. 

Civil Rights

  • Affirmative Employment, Analysis & Accountability
  • Employment Complaint Resolutions
  • Reasonable Accommodation
Contact Us About Civil Rights
Contact Us to ask a question, provide feedback, or report a problem.
Last updated on September 11, 2024
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