OCFS-2154a. Application to Request a Reasonable Accommodation of a Disability

Form OCFS-2154a Application to Request a Reasonable Accommodation of a Disability is a form used by people with disabilities to request reasonable accommodations. This form is used to request reasonable accommodation related to a person's disability in order to participate in an activity or program sponsored or operated by the New York State Office of Children and Family Services (OCFS).

The parties involved in this form are the person with the disability, their family, and the Office of Children and Family Services. The form consists of four main sections, including the information section, the request section, the signature section, and the certification section. The information section of the form requires the applicant to provide personal information such as name, address, and phone number. The request section requires the applicant to explain the disability and the reasonable accommodation being requested. The signature section requires the applicant to sign and date the form, and the certification section requires the applicant to certify that the information provided is true and correct.

Important fields in this form include the personal information, the details of the disability, and the specific reasonable accommodation being requested. It is important to provide accurate information in this form, as it is used to evaluate the individual's need for the requested accommodation. Additionally, the applicant must sign and date the form to certify that the information provided is true and correct.

An example scenario where this form would be used is when a person with a disability wants to participate in a program or activity operated by the New York State Office of Children and Family Services. The form serves the purpose of providing the Office of Children and Family Services with the information it needs to determine if the individual is eligible for the requested reasonable accommodation.

Additional documents may need to be included with the form, such as medical records or documentation of the disability. Additionally, there may be related forms or alternative forms used for similar purposes, such as the OCFS-2155 Request for Reasonable Accommodation of a Disability.