NYCHA Form 015.208 at a glance
What it is: The Reasonable Accommodation Request Form is used by all job applicants and employees requesting a reasonable accommodation in accordance with NYCHA's Reasonable Accommodation Policy.
Who signs: Sign on the Signature line and enter the Date (mm/dd/yyyy).
The New York City Housing Authority (NYCHA) will provide reasonable accommodations for job applicants and employees to enable them to either apply for a position at NYCHA or perform the essential functions of their job, unless providing such accommodation would create an undue hardship or pose a direct threat of harm to the health and safety of others.
A filled-in NYCHA Form 015.208 example: an employee fills out Sections I and II
How to fill out NYCHA Form 015.208, box by box
Name and contact information
In Section I: Name and Contact Information, enter Full Name, Kronos ID, Phone Number and Email Address, and mark Current Employee or Job Applicant.
Employee and supervisor information
Complete Section II: Employee & Supervisor Information only if you are a current employee. Enter Civil Service Title, Development/Department, Work Location/Address, Supervisor Name, Supervisor Title, Supervisor Phone Number and Supervisor Email Address.
Applicant information
Complete Section III: Applicant Information only if you are a job applicant. Enter Position/Title Applied For, Development/Department (if known) and Job Vacancy Notice Number (if known).
For the part or parts of the application or hiring process for which an accommodation is requested, check Job Application Submission, Interview or Other (please specify). Enter the NYCHA Hiring Manager Contact if known.
Basis of reasonable accommodation request
In Section IV: Basis of Reasonable Accommodation Request, check Disability, Pregnancy, Childbirth, a Related Medical Condition, or Lactation needs, Religion, or the box for the other protected categories that apply to your request.
Duration of the requested accommodation
For the duration of the requested accommodation, check Permanent, Temporary or Unknown. If temporary, indicate anticipated end date of accommodation(s).
Describe the accommodation
Describe in detail the condition or circumstance that may require an accommodation, the type of accommodation requested, and how the accommodation will assist you to perform the essential functions of the position held or applied for. Attach additional sheets and present supporting documentation as appropriate.
Certification and signature
In Section V: Certification and Signature, you certify that you have read and understood the information provided in this request, and that it is true to the best of your knowledge, information, and belief.
If your situation is different
The request is based on disability
For reasonable accommodation requests based on disability, submit additional medical documentation to demonstrate the medical condition and recommended accommodation.
Such documentation should be dated and signed by a health professional within two weeks of the date of the Reasonable Accommodation Request Form. It should describe the severity of the medical condition and its limitations in detail as they currently exist and how they limit your ability to perform the essential functions of the job. It should indicate the extent to which the accommodation will permit you to perform the essential functions of the job. It should state whether the duration of the medical condition and its limitations is permanent or temporary or unknown. If temporary, it should specify a date the accommodation is no longer required.
Common questions about NYCHA Form 015.208
Where do I file it?
Submit this form and any supporting documentation directly to emp.rar@nycha.nyc.gov. If you have any questions regarding this form, email the RA Unit directly.
Sources
[1] NYCHA Reasonable Accommodation Request Form 015.208 (Rev. 10/10/25), New York City Housing Authority (the Official source link on this page).
