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Accommodation Request Form

The DRC uses an Accommodation Request Form to help better understand employee requests for reasonable accommodations.  Completed forms may be faxed to the DRC at: (202) 493-2391.  If assistance is needed in completing the form, please contact the DRC at: drc@dot.gov, (202) 493-0625 (Voice) or (202) 366-5273 (TTY).

Download the Accommodation Request Form (Word Document)
(If you do not have Microsoft Word installed on your system, you can download the Microsoft Word Viewer.)

Download the Accommodation Request Form, Plain Text Format

Download the Accommodation Request Form, Adobe Acrobat PDF
(Get Adobe Acrobat here.)

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