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The NYCHA 015 208 form serves a vital role in ensuring that individuals with disabilities receive the support they need to thrive in their work environments. This form is specifically designed for job applicants and current employees of the New York City Housing Authority (NYCHA) who are seeking reasonable accommodations. It outlines the process for requesting adjustments that enable these individuals to perform their job functions effectively or to access the same benefits and privileges as their colleagues. The form includes several sections that must be completed by the applicant or employee, as well as supervisory staff. Each section gathers essential information, such as the nature of the requested accommodation and relevant job details. The process is structured to ensure that requests are handled efficiently and confidentially, with clear instructions for all parties involved. Moreover, it emphasizes NYCHA's commitment to inclusivity, stating that accommodations will be provided unless they impose undue hardship on the organization. This form not only facilitates the accommodation process but also reinforces the importance of equal opportunity in the workplace.

Similar forms

  • ADA Accommodation Request Form: Similar to the NYCHA 015 208 form, the ADA Accommodation Request Form is used by individuals seeking accommodations under the Americans with Disabilities Act. Both documents facilitate the request process for accommodations, ensuring that individuals with disabilities can perform their job functions effectively.
  • Employee Request for Leave of Absence: This document allows employees to request time off for medical reasons, similar to how the NYCHA 015 208 form requests accommodations for disabilities. Both forms require detailed information about the individual's situation and may involve medical documentation.
  • Workplace Adjustment Request Form: This form is utilized to request adjustments in the workplace, such as modified work schedules or changes in job duties. Like the NYCHA 015 208, it aims to support employees in fulfilling their roles while addressing specific needs related to disabilities.
  • Return to Work Form: This document is completed by employees returning from medical leave, similar to the NYCHA 015 208 form, which may also be used when an employee is requesting accommodations post-leave. Both forms ensure that employees can safely and effectively resume their work duties.
  • Disability Benefits Claim Form: Individuals seeking disability benefits complete this form to provide evidence of their condition. This is akin to the NYCHA 015 208 form, as both require supporting medical documentation and aim to assist individuals in receiving necessary support.
  • Employee Grievance Form: This form allows employees to formally report issues or concerns related to workplace accommodations. While the NYCHA 015 208 focuses on requesting accommodations, both documents are part of the broader framework that addresses employee rights and needs within the workplace.

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NYCHA 015.208 (REV. 9/04) & REVERSE

Reasonable Accommodation Request

NEW YORK CITY HOUSING AUTHORITY

Human Resources Department

Date Received:

(To be completed by ERAC)

The New York City Housing Authority (NYCHA) will make reasonable accommodations for qualified job applicants and employees with disabilities to enable them to perform the essential functions of their jobs, or to enjoy the equal benefits and privileges of employment and the employment process, unless providing such an accommodation would be unduly costly, extensive, substantial or disruptive, or would fundamentally alter the nature of operation of the Housing Authority or any of its programs. This form shall be made available to, and used by, all job applicants and employees requesting a reasonable accommodation in accordance with NYCHA’s

Reasonable Accommodation Policy and Procedure for Employees and Job Applicants.

INSTRUCTIONS: Where necessary or requested, NYCHA supervisory staff, the Human Resources Placement and Certification Coordinator (Interviewer), and/or the Employee Reasonable Accommodation Coordinator (ERAC) shall assist applicants or employees in completing this form.

Job applicants - Complete Sections I and II and submit this form to the staff supervising the application process. Current NYCHA employees - Complete Sections I and III and submit this form to your immediate supervisor. Interviewers/Supervisors - Complete Section IV, and return one copy of the completed form to the job applicant or employee requesting the accommodation. In a separate confidential file, retain a copy of completed form, and send a copy to the ERAC (Human Resources Department, 90 Church Street, 5th Floor, New York, NY 10007). The original form is to be sent to the decision-maker. (In the case of the Supervisor, it will be the Department Director, not the HR Director.)

Department Director/HR Director - Complete Section V, as appropriate.

Section I

Both job applicants and current employees should complete this section.

Name

Address

Phone

Accommodation Requested (attach additional sheets and any supporting medical documentation, as appropriate)

Section II

To be completed by job applicants only.

Position/title applied for gvbhfghgfh

Department/Development (if known)

Job Vacancy Notice Number (if known)

Date of Examination/Interview

OVER

NYCHA 015.208 (REV. 9/04) - REVERSE

Section III

To be completed by NYCHA employees only (even if you are currently on leave).

Position/Title

Department/Development

Supervisor

Section IV

This section should be completed by the Interviewer of the job applicant, or by the supervisor of the em- ployee requesting a reasonable accommodation.

Name and Title

Department/Development

Phone

Date Request Received

Signature

Section V

In the event a reasonable accommodation is granted at the outset of the process, this section should also be completed before sending a copy to the ERAC.

If the request involves a personnel action that requires the Human Resources Director’s approval, describe the recommended reasonable accommodation and check RECOMMENDED.

Disposition of the Request for Reasonable Accommodation:

GRANTED

RECOMMENDED

DENIED Date

If a reasonable accommodation has been GRANTED / RECOMMENDED, describe the accommodation:

Name and Title

Department

Signature

 

Date

An employee may file a written appeal of the Department Director’s decision with the ERAC

within 10 days of receipt of the decision.

Common mistakes

Filling out the NYCHA 015 208 form can be straightforward, but many people make mistakes that can delay their requests for reasonable accommodations. One common error is not providing complete information in Section I. This section requires essential details such as name, address, and phone number. Omitting any of this information can lead to confusion and slow down the process.

Another frequent mistake is failing to attach necessary supporting medical documentation. When requesting an accommodation, it is crucial to include any relevant medical documents that substantiate the need for assistance. Without this information, the request may be denied or delayed.

Many applicants also overlook the specific sections that need to be completed based on their status. Job applicants should fill out Sections I and II, while current employees must complete Sections I and III. Misunderstanding which sections apply can result in incomplete submissions and unnecessary back-and-forth communication.

People often neglect to check the job vacancy notice number when filling out Section II. This number helps the NYCHA staff identify the specific position related to the accommodation request. Not including it can lead to delays in processing the application.

Another mistake occurs when individuals fail to submit the form to the correct person. Job applicants should send their forms to the staff supervising the application process, while current employees must submit theirs to their immediate supervisors. Sending the form to the wrong person can cause significant delays.

In addition, some individuals forget to sign the form. A signature is necessary to validate the request and confirm that the information provided is accurate. Without a signature, the form may not be processed at all.

Another issue arises when applicants or employees do not keep a copy of the submitted form for their records. Having a copy is important for tracking the request and following up if necessary. Not retaining a copy can lead to confusion about what was submitted.

People sometimes misinterpret the instructions regarding the confidentiality of the information provided. It is essential to understand that personal medical information should be handled with care and only shared with authorized personnel. Failing to respect confidentiality can lead to privacy concerns.

Finally, some individuals miss the deadline for filing an appeal if their request is denied. If an accommodation is denied, applicants have 10 days to file a written appeal with the ERAC. Missing this deadline can result in the loss of the opportunity to challenge the decision.

More About Nycha 015 208

  1. What is the purpose of the NYCHA 015 208 form?

    The NYCHA 015 208 form is used by job applicants and employees of the New York City Housing Authority (NYCHA) to request reasonable accommodations due to disabilities. It aims to ensure that individuals can perform essential job functions or enjoy equal employment benefits. The form is part of NYCHA's commitment to inclusivity and compliance with relevant laws regarding disability accommodations.

  2. Who is eligible to use the NYCHA 015 208 form?

    Both job applicants and current employees at NYCHA can use this form. Applicants need to complete specific sections related to their job application, while employees must fill out sections relevant to their current position. All individuals requesting accommodations must provide necessary details about their situation and any supporting medical documentation if applicable.

  3. How should the form be submitted?

    Job applicants should complete Sections I and II and submit the form to the staff overseeing the application process. Current employees are required to fill out Sections I and III and submit it to their immediate supervisor. Supervisors or interviewers must then complete Section IV and return a copy to the individual requesting the accommodation while retaining a copy for their records and sending another to the Employee Reasonable Accommodation Coordinator (ERAC).

  4. What happens after the form is submitted?

    Once the form is submitted, the relevant supervisor or department director will review the request. They will then complete Section V, indicating whether the accommodation is granted, recommended, or denied. If granted or recommended, details of the accommodation will be documented. The individual requesting the accommodation will receive a copy of the decision, and they have the right to appeal any denial within 10 days by contacting the ERAC.

  5. Can an employee appeal a denied request for accommodation?

    Yes, if a reasonable accommodation request is denied, the employee can file a written appeal with the ERAC. This appeal must be submitted within 10 days of receiving the decision. The process allows employees to seek further consideration of their request and ensures that their rights are protected under NYCHA's policies.

Misconceptions

Misconceptions about the NYCHA 015 208 form can lead to confusion and missed opportunities for those seeking reasonable accommodations. Here are five common misunderstandings:

  • Only current employees can use the form. Many believe that only existing employees are eligible to submit the NYCHA 015 208 form. In reality, both job applicants and current employees can use this form to request reasonable accommodations.
  • The form is only for physical disabilities. Some individuals think the form is limited to requests related to physical disabilities. However, it encompasses a wide range of disabilities, including mental health conditions, ensuring that all individuals with disabilities can seek the support they need.
  • Submitting the form guarantees an accommodation. There is a misconception that simply filling out the form guarantees that an accommodation will be granted. While the form initiates the process, each request is evaluated on a case-by-case basis to determine its feasibility and appropriateness.
  • Medical documentation is always required. Many people assume that they must provide extensive medical documentation with their request. While supporting documentation can be helpful, it is not always mandatory. The necessity for documentation often depends on the nature of the request.
  • The process is overly complicated. Some individuals feel intimidated by the process and believe it is too complex. In truth, the NYCHA has established clear instructions and support systems to assist applicants and employees in completing the form and navigating the accommodation process.

Key takeaways

When filling out and using the NYCHA 015 208 form, there are several important points to keep in mind. These key takeaways will help ensure a smooth process for requesting reasonable accommodations.

  • Understand the Purpose: This form is designed for job applicants and current employees who need reasonable accommodations due to disabilities. It aims to facilitate equal access to employment opportunities and benefits.
  • Follow the Instructions Carefully: Different sections of the form are designated for specific groups. Job applicants should complete Sections I and II, while current employees need to fill out Sections I and III.
  • Provide Complete Information: Ensure that all required fields are filled out accurately. Include any necessary supporting medical documentation to strengthen your request for accommodation.
  • Submit to the Right Person: Job applicants must submit the completed form to the supervising staff, while current employees should give it to their immediate supervisor. This ensures that the request is directed to the appropriate decision-maker.
  • Know the Follow-Up Process: After submission, the interviewer or supervisor will complete Section IV and return a copy to you. They will also send a copy to the Employee Reasonable Accommodation Coordinator (ERAC).
  • Appeal if Necessary: If your request for accommodation is denied, you have the right to appeal the decision. This must be done in writing to the ERAC within 10 days of receiving the denial.

By keeping these takeaways in mind, you can navigate the process of requesting reasonable accommodations more effectively. Remember, the goal is to ensure that everyone has the opportunity to perform their best in the workplace.

Nycha 015 208: Usage Guide

After completing the NYCHA 015 208 form, submit it to the appropriate personnel based on your status as a job applicant or current employee. Ensure all sections are filled out accurately to facilitate the review process.

  1. Obtain the NYCHA 015 208 form.
  2. Fill out Section I with your name, address, phone number, and the accommodation requested. Attach any supporting medical documentation if necessary.
  3. If you are a job applicant, complete Section II with your position/title applied for, department/development (if known), job vacancy notice number (if known), and the date of examination/interview.
  4. If you are a current NYCHA employee, complete Section III with your position/title, department/development, and supervisor.
  5. For interviewers or supervisors, fill out Section IV with your name and title, department/development, phone number, date request was received, and provide your signature.
  6. If applicable, complete Section V to document the disposition of the request for reasonable accommodation. Indicate if the request is granted, recommended, or denied, and describe the accommodation if granted or recommended.
  7. Submit the completed form to the appropriate personnel: job applicants to the supervising staff, and current employees to their immediate supervisor.
  8. Ensure a copy is retained for your records and any necessary follow-up actions are taken.