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Employee Accommodation Agreement
"I need an Employee Accommodation Agreement for a software developer who requires ergonomic equipment and a hybrid work arrangement (3 days remote, 2 days office) due to a chronic back condition, with implementation starting January 15, 2025."
1. Parties: Identifies the employer and employee entering into the accommodation agreement
2. Background: Establishes the context for the accommodation, including reference to relevant legislation and the employer's duty to accommodate
3. Definitions: Defines key terms used throughout the agreement
4. Purpose of Agreement: States the objective of providing reasonable accommodation and maintaining employment relationship
5. Nature of Accommodation: Detailed description of the specific accommodation(s) being provided
6. Implementation Timeline: Specifies when and how the accommodation measures will be implemented
7. Roles and Responsibilities: Outlines the obligations of both employer and employee in implementing and maintaining the accommodation
8. Review and Modification: Establishes process for periodic review and adjustment of accommodation measures
9. Confidentiality: Addresses the handling and protection of personal information related to the accommodation
10. Duration: Specifies the term of the agreement and conditions for renewal or termination
11. Signatures: Space for parties to execute the agreement
1. Medical Requirements: Include when accommodation involves medical conditions requiring specific protocols or restrictions
2. Training Provisions: Include when accommodation requires additional training for the employee or coworkers
3. Equipment and Resources: Include when specific equipment or resources are being provided as part of the accommodation
4. Workplace Modifications: Include when physical changes to the workplace are required
5. Remote Work Arrangements: Include when accommodation involves working from home or alternate locations
6. Emergency Procedures: Include when accommodation requires special emergency evacuation or response procedures
7. Union Involvement: Include when employee is unionized and accommodation affects collective agreement terms
1. Schedule A - Detailed Accommodation Plan: Comprehensive description of specific accommodation measures and implementation details
2. Schedule B - Medical Documentation: Relevant medical information supporting the need for accommodation (with appropriate privacy protections)
3. Schedule C - Equipment Specifications: Detailed list and specifications of any equipment or modifications required
4. Schedule D - Contact Information: List of key contacts involved in implementing and maintaining the accommodation
5. Appendix 1 - Workplace Assessment: Results of any ergonomic or workplace assessments conducted
6. Appendix 2 - Progress Review Form: Template for documenting periodic reviews of the accommodation effectiveness
7. Appendix 3 - Related Policies: Copies of relevant workplace policies referenced in the agreement
Authors
Undue Hardship
Essential Duties
Protected Grounds
Disability
Workplace
Modified Work
Medical Information
Confidential Information
Review Period
Healthcare Provider
Accommodation Plan
Functional Limitations
Regular Duties
Working Days
Accommodation Equipment
Authorized Representative
Medical Assessment
Work Schedule
Workplace Modifications
Return to Work Plan
Support Person
Designated Contact
Implementation Date
Alternative Work Arrangements
Reasonable Accommodation
Essential Requirements
Modified Schedule
Interim Accommodation
Permanent Accommodation
Purpose and Scope
Accommodation Details
Implementation
Duration and Review
Confidentiality
Medical Documentation
Roles and Responsibilities
Modification Procedures
Health and Safety
Equipment and Resources
Work Schedule
Training Requirements
Communication Protocol
Performance Standards
Privacy Protection
Emergency Procedures
Dispute Resolution
Termination
Amendment
Entire Agreement
Severability
Governing Law
Workplace Modifications
Cost Allocation
Union Provisions
Return to Work
Monitoring and Evaluation
Reporting Requirements
Acknowledgment and Acceptance
Healthcare
Education
Financial Services
Manufacturing
Retail
Technology
Government
Professional Services
Transportation
Construction
Hospitality
Mining
Telecommunications
Non-Profit
Energy
Human Resources
Occupational Health and Safety
Legal
Employee Relations
Diversity and Inclusion
Risk Management
Labor Relations
Benefits Administration
Workplace Wellness
Facilities Management
Human Resources Manager
Disability Management Specialist
Occupational Health Nurse
Health and Safety Coordinator
Employee Relations Manager
HR Business Partner
Diversity and Inclusion Manager
Return to Work Coordinator
HR Director
Workplace Accommodation Specialist
Labor Relations Manager
HR Compliance Officer
Benefits Administrator
Risk Management Officer
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