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Contra Costa County Cesar E. Chavez Youth Hall of Fame Awards
Contra Costa County Says NO MORE
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District V Supervisor Federal D. Glover
Dr. Martin Luther King, Jr., Humanitarian of the Year Awards
Flood Control District
Morgan Territory Road Closures
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Accommodation Request Online Form for Employees
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This form has been modified since it was saved. Please review all fields before submitting.
What specific accommodation(s) are you requesting?
If you are not sure what accommodation(s) is needed, do you have any suggestions about what options we can explore? If yes, explain.
Is your accommodation request time sensitive? If yes, explain.
What, if any, essential job functions are you having difficulty performing?
Employment facilities and program
What, if any, employment facilities and program are you having difficulty accessing?
Limitation of access to facility or program
Contra Costa County Accommodation
Have you previously been accommodated during your employment with Contra Costa County? If yes, what were they and how effective were they?
You may be required to provide medical documentation, if necessary, to process your accommodation request, If you are unable to provide the necessary documentation, the County may obtain it's own medical assessment.
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