The State of California's commitment to inclusivity and accessibility in its legal proceedings is exemplified through the Department of Industrial Relations' Division of Labor Standards Enforcement's provision of the DLSE RA Form. This vital document functions as a request for accommodations by persons with disabilities within the context of legal disputes under the division's purview, encompassing both plaintiff and defendant scenarios. Individuals, be they the plaintiff, attorney, employer, or other participants in the case, are empowered to specify the nature of their disability, detail the accommodations required, and indicate their preference regarding the confidentiality of their request. The form further necessitates the inclusion of contact information, the specific dates on which accommodations are needed, and an acknowledgment of the request's importance through the requester's signature. Designed to ensure that all parties have equitable access to participate fully in legal processes, the DLSE RA Form underscores the state's dedication to upholding the rights and dignity of individuals with disabilities, reflecting a broader commitment to justice and accessibility for all.
| Question | Answer |
|---|---|
| Form Name | Dlse Form Ra |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | DLSE Form RA dlse 8 fillable form |
STATE OF CALIFORNIA
DEPARTMENT OF INDUSTRIAL RELATIONS DIVISION OF LABOR STANDARDS ENFORCEMENT
Plaintiff
v.
Defendant
Case No(s):
FORM TO BE KEPT CONFIDENTIAL (IF BOX CHECKED)
REQUEST FOR ACCOMMODATIONS BY
PERSONS WITH DISABILITIES
1. |
Name: |
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Telephone Number: |
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2. |
Address: |
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3. |
Person making request is: |
Plaintiff |
Attorney |
Employer |
Other: |
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4.Dates accommodations needed (specify):
5.Impairment necessitating accommodations (specify):
6.Type of accommodations (specify):
7.I request that my identity: be kept CONFIDENTIAL NOT be kept CONFIDENTIAL
Date:
(TYPE ORPRINT NAME)(SIGNATURE OF REQUESTOR)
DLSE |
Section 5 |
[1/3/2006] |
Page 1 of 1 |