This ADA request form, printed as Request for Modification in the Administration of Crane Operator Examination, is issued by the Montana Department of Labor and Industry's Crane & Hoist Operator Program. Candidates with a disability that might affect taking a Crane Operator Examination use it to ask for a reasonable accommodation. On this page you can fill out the form online on FillingPDF and download or print the completed PDF. The original PDF is published by the Department at boards.bsd.dli.mt.gov.
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What is ADA Request Form – Montana?
The ADA Request Form, printed as Request for Modification in the Administration of Crane Operator Examination, is the Montana Department of Labor and Industry form on which a candidate with a disability asks for a reasonable accommodation to take a Crane Operator Examination.
The form belongs to the Montana Crane & Hoist Operator Program, which is part of the Department's Business Standards Division (Licensing Boards). Its opening statement says the Department complies with the Americans with Disabilities Act (ADA) of 1990 and will make reasonable accommodation for candidates whose disabilities might affect their taking any of the Crane Operator Examinations.
The form is short. It asks you to:
- name the disability that limits one or more of your major life activities, with examples such as walking, hearing, speaking, seeing, reading or writing;
- say whether the disability requires a special accommodation for the examination (Yes or No);
- describe the accommodation you need, on a separate sheet if more space is required;
- supply written documentation from an appropriate health care professional.
The form also states a cost rule: the Department does not reimburse the applicant for costs of obtaining the required diagnosis and recommendation, but it pays for any reasonable accommodation it provides to you. The form is a request for a testing accommodation; it is not an examination or license application.
Who needs to file ADA Request Form – Montana?
Candidates for any of the Montana Crane Operator Examinations who have a disability that might affect taking the examination use this form to request a reasonable accommodation. The disability described must limit one or more of your major life activities, such as walking, hearing, speaking, seeing, reading or writing.
You answer Question 2 Yes only if the disability requires a special accommodation for you to take the examination. The form's documentation requirement applies to the accommodation you request: you must provide written documentation from an appropriate health care professional that includes a diagnosis of your disability and a specific recommendation and justification for the accommodation.
The form has one signature line, for the person whose name is printed at the top of the signature block. It says nothing about a representative signing for a candidate. If you have questions before filling it out, the form directs you to contact the Department at (406) 841-2359.
When to file ADA Request Form – Montana
Submit the form when you are a candidate with a disability who needs a testing accommodation for a Crane Operator Examination. The form is a request tied to taking the examination, and no separate due date is printed on it.
Because the request must be supported by written documentation from a health care professional, gather that documentation before you return the form. For questions about timing or about your particular situation, the form gives the Department's number: (406) 841-2359.
Documents you need
- Written documentation from an appropriate health care professional supporting the accommodation you request; it must include a diagnosis of your disability.
- In the same documentation, a specific recommendation and justification for the testing accommodation you require.
- A separate sheet of paper describing the accommodation, only if the space on the form for Question 3 is not enough.
How to fill out ADA Request Form – Montana
Enter your name and Social Security number
In the block at the bottom, print your name where it says Name (Please Print) and enter your Social Security Number in the field beside it.
Describe your disability
Question 1: state the disability that limits one or more of your major life activities, such as walking, hearing, speaking, seeing, reading or writing.
Answer whether accommodation is needed
Question 2: select Yes or No to show whether the disability requires a special accommodation for you to take the Examination.
Describe the accommodation you need
Question 3: if you answered Yes, describe the special accommodation needed. Use a separate sheet of paper if you need more space.
Prepare the health care documentation
Question 4: arrange written documentation from an appropriate health care professional with a diagnosis of your disability and a specific recommendation and justification for the accommodation. It goes with the form; it is not typed into it.
Sign and date the form
Sign on the Signature line and enter the date on the Date line next to it.
Review and download the completed PDF
Check that each answer is complete and matches your documentation, then download or print the completed PDF from FillingPDF and assemble the package described under How to submit.
How to submit ADA Request Form – Montana
The form says to return it to the Department; it names no specific channel beyond that. The Crane & Hoist Operator Program lists these addresses and contacts:
- Mail: Crane / Hoisting Operator Program, PO Box 200513, Helena, MT 59620-0513.
- In person: Crane / Hoisting Operator Program, 301 S. Park Avenue, 4th Floor, Helena, MT 59620.
- Questions about the form: (406) 841-2359, as printed on the form.
- Program customer service: (406) 444-6880 or [email protected], shown in the form's header.
Include the written documentation from your health care professional with the form. If your description of the accommodation needs more room, add a separate sheet of paper. No fee for the form is mentioned. FillingPDF lets you fill out and download the PDF; submission follows the channels above.
Common mistakes to avoid
- Returning the form without written documentation from an appropriate health care professional, which Question 4 requires.
- Submitting documentation that lacks a diagnosis of your disability.
- Submitting documentation that gives no specific recommendation and justification for the testing accommodation you require.
- Answering Yes to Question 2 but leaving Question 3 blank instead of describing the special accommodation needed.
- Naming a condition in Question 1 without saying how it limits a major life activity such as walking, hearing, speaking, seeing, reading or writing.
- Expecting the Department to reimburse the cost of the diagnosis and recommendation; the form says it does not.
- Leaving the signature or date blank, or printing your name without signing.
- Squeezing a long description into the space for Question 3 instead of attaching a separate sheet of paper.
Frequently asked questions
What is the ADA request form for the Montana crane operator exam?
It is the Department of Labor and Industry's Request for Modification in the Administration of Crane Operator Examination. A candidate with a disability uses it to request a reasonable accommodation for taking any of the Crane Operator Examinations.
What documentation do I need with the ADA request form?
Written documentation from an appropriate health care professional. It must include a diagnosis of your disability and a specific recommendation and justification for the testing accommodation you require, as Question 4 of the form states.
Will the Department pay for my diagnosis or doctor's letter?
No. The form says the Department will not reimburse the applicant for costs of obtaining the required diagnosis and recommendation. It does say the Department will pay for any reasonable accommodation it provides for you.
Where do I send the ADA request form?
The form says to return it to the Department. The Crane / Hoisting Operator Program's mailing address is PO Box 200513, Helena, MT 59620-0513; its physical address is 301 S. Park Avenue, 4th Floor, Helena, MT 59620.
Who can I call with questions about the ADA request form?
The form says to contact the Department at (406) 841-2359 with questions. Its header also lists the program's phone, (406) 444-6880, and e-mail, [email protected].
Do I answer Yes to Question 2 if I have a disability?
Answer Yes only if the disability will require a special accommodation for you to take the examination. If you answer Yes, Question 3 asks you to describe the accommodation, on a separate sheet if you need more space.
Can I fill out the ADA request form online?
You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is an independent service and does not send the form to the Department; you return it through the Department's channels.
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