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#26-002587-0031
Supplemental Questionnaire

Last Name
First Name
1.

Do you have three (3) years of experience independently managing and owning the ADA (Americans with Disabilities Act) interactive process, including evaluating requests and making accommodation determinations? 

Yes No
2.

Describe your experience conducting interactive processes involving the employee, medical provider, HR, the appointing authority, and any other relevant parties.  Include employer, duties and dates of employment.  If no experience, indicate N/A.

3.

Describe your experience managing multiple ADA cases simultaneously. In your response, explain how you use case management systems to track cases, maintain accurate documentation, meet required deadlines, and ensure consistent application of ADA standards and procedures. Include the name of employer(s) and dates of employment when you performed these duties or gained this knowledge. If you do not have this experience, enter N/A.

4.

Which of the following ADA-related experiences do you have? Check all boxes that apply.

knowledge and experience of Americans with Disabilities Act (ADA) law/ compliance
conducting interactive processes
drafting determinations
reasonable accommodation processes
researching and applying employment regulations
evaluating medical documentation
providing guidance and training on disability-related employment matters
Certified as an ADA coordinator, Professional in Accessibility Core Competencies, or similar distinction
5.

Describe your experience in the ADA areas you selected above. Include the name of employer(s) and dates of employment when you performed these duties or gained this knowledge. If you do not have this experience, enter N/A.


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