Page 44 - PL Handbook 2016
P. 44

Appendix A – Accessibility Standards Policy

                            INDIVIDUAL ACCOMMODATION PLAN
                                      DISABILITY – RELATED

Employee’s Name:                                            Department:
Position:                                                   Work Location:
Details of Individual Accommodation:

Date of Implementation:                                     Date:
Date to be Reviewed:                                        Date:
Employee Signature:                                         Date:
Supervisor Signature:
Human Resources Signature:

For HR Purposes Only:

Copy-Employee  Copy-Supervisor                     Copy-HR

44 Purity Life Employee Handbook EDITION 2 - 2016
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