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Americans with Disabilities Act (ADA)

The Americans with Disabilities Act (ADA) is the Bill of Rights for individuals with disabilities.

The ADA has five titles, two of which directly affect governmental entities. Title I prohibits discrimination in all aspects of employment, and Title II prohibits discrimination in providing public services, programs and activities. Both titles require a public entity to make reasonable accommodations and/or modifications to individuals with disabilities to allow them to participate fully in public employment and public services.

Minnesota Management and Budget Notice under the Americans with Disabilities Act and Grievance Procedure (Word version) (PDF version)

State of Minnesota Executive Order 96-9 requires state agencies to complete and submit an annual report that documents compliance with the Americans with Disabilities Act (ADA), Title I—Employment and Title II—Public Services; the ADA Amendments Act; and the Minnesota Human Rights Act to their agency heads and the State ADA Coordinator. The reporting period is from July 1 through June 30. The report must be submitted online by the first business day in September.

Please answer the questions about your agency’s efforts to increase awareness and accessibility for individuals with disabilities. Please print a copy of your completed report for your records and then click "submit." Your submission will be transmitted directly to the survey database maintained at Minnesota Management and Budget (MMB), and you will receive an electronic mail confirmation. Please print a copy of this message for your records.

If you have questions about completing this report, contact AA Reports (aareports.mmb@state.mn.us).

Your Agency:
If your department, office, board, bureau, commission, council, school, et cetera is not listed in the drop down menu, please enter it in this box:

Facility or location:


SECTION I. COMPLIANCE WITH ADA, TITLE I – EMPLOYMENT
A. Indicate the person responsible for determining requests for reasonable accommodation from your agency’s job applicants and employees.

Name:

Phone with area code:
Email:
Fax:

B. Indicate all of your agency's methods to inform its job applicants and employees about the reasonable accommodation policy and process.

Maintained a written reasonable accommodation policy.
Posted the policy on your agency's bulletin boards.
Discussed the policy in staff meetings.
Sent an agency-wide notice informing employees about the policy.
Posted the policy on the agency's website.
Included the policy in your agency's new employee orientation.
Monitored agency employment practices to ensure they do not discriminate against qualified individuals with disabilities.

Please describe other methods:

C. Indicate all of your agency's methods to educate its employees about accessibility for individuals with disabilities (check all that apply).

Displayed literature, posters, art, et cetera to heighten the visibility of individuals with disabilities.
Promoted disability awareness activities during October's Disability Employment Awareness Month.
Advertised ADA and disability related events.
Disseminated ADA and disability-focused publications.
Provided training on disability issues.
Provided training on ADA requirements.
Discussed ADA and disability-related learning opportunities in position performance reviews and performance improvement plans.

Please describe other methods:

D. Indicate the total number of reasonable accommodation requests filed with your agency during the last fiscal year. Retain individual requests at your agency, and do not include them with this report.

Check this box if your agency received no reasonable accommodation requests for the reporting period and skip to Subsection L.

E. Indicate the total number of each type of requester for all reasonable accommodation requests.
Job applicants:
Employees:

F. Indicate the total number of each type of accommodation in all reasonable accommodation requests.
Provision of alternative parking arrangements:
Alteration of available facilities to be physically accessible and usable:
Adjustment to job application process:
Provision of alternative format of work materials:
Modification of devices, equipment, or technology:
Acquisition of alternate devices, adaptive equipment, or assistive technology:
Provision of qualified reader, writer, sign language interpreter, or other assistant:
Adjustment to training or testing:
Modification to policy, procedure, rule, or practice:
Restructuring of the job:
Permission for part-time or modified work schedule:
Provision of alternative work area:
Permission for extended medical leave:
Reassignment to a vacant job:
Specify what and how many other reasonable accommodations:

G. Indicate the total number of each type of functional limitation in all reasonable accommodation requests.
Breathing:
Sleeping:
Seeing:
Hearing:
Caring for oneself:
Ingesting (Eating/Drinking):
Thinking:
Concentrating:
Learning:
Reading:
Speaking:
Writing:
Interacting with others:
Sitting:
Reaching:
Manipulating:
Standing:
Walking:
Bending:
Lifting:
Specify other functional limitations, not diagnoses:

H. Indicate the total number of reasonable accommodation requests in each status.
Approved:
Pending:
Not Approved:

I. Indicate the total number of each type of reasonable accommodation actually provided.
Provision of alternative parking arrangements:
Alteration of available facilities to be physically accessible and usable:
Adjustment to job application process:
Provision of alternative format of work materials:
Modification of devices, equipment, or technology:
Acquisition of alternate devices, adaptive equipment, or assistive technology:
Provision of qualified reader, writer, sign language interpreter, or other assistant:
Adjustment to training or testing:
Modification to policy, procedure, rule, or practice:
Restructuring of the job:
Permission for part-time or modified work schedule:
Provision of alternative work area:
Permission for extended medical leave:
Reassignment to a vacant job:
Other (Specify what and how many other accommodations):

J. Indicate the total cost incurred for all reasonable accommodations. Do not include costs for staff time spent securing the accommodations.

K. Indicate the total number of reasons for all reasonable accommodation requests not approved.
No disability:
Not minimally qualified for the job:
Requested elimination of essential function:
Could not perform an essential function of the job with or without reasonable accommodation:
Accommodation not reasonable:
No accommodation available:
Undue Hardship:
Request withdrawn:

L. Indicate the total number of any complaints, charges, or lawsuits filed regarding reasonable accommodation requests:

M. Indicate the total number of each disposition of all of the filings.
Substantiated:
Pending:
Unsubstantiated:
Settled:

SECTION II. Compliance with the ADA, Title II—PUBLIC SERVICES
A. Indicate the person responsible for determining requests for reasonable modification to your agency from the general public.
Name:
Phone with area code:
Email:
Fax:

B. Indicate all of your agency's methods to inform the public of the auxiliary aids and services available to individuals with disabilities to apply for its benefits, receive its services, or participate in its programs.








Please describe other methods:


C. Indicate all of your agency's methods to inform employees about policies on access for the public with disabilities to benefits, services, and programs.






Please describe other methods:

D. Indicate all of your agency's methods to review and evaluate access issues for members of the public.


Other Evaluation (please describe):


E. Indicate all of your agency's methods to ensure that its website is accessible to users with disabilities.



Please describe other methods:

F. Indicate the total number of reasonable modification requests from benefit applicants, service recipients, or program participants filed with your agency during the last fiscal year. Retain individual requests at your agency, and do not include them with this report.

Check this box if your agency received no reasonable accommodation requests for the reporting period and skip to Subsection M.

G. Indicate the total number of each type of modification in all reasonable modification requests from members of the public.

Modification to policy, procedure, rule, or practice:
Adjustment to application process:
Adjustment to eligibility process:
Removal of architectural barriers, such as provision of alternative meeting areas:
Removal of communication barriers, such as provision of materials in alternative formats:
Removal of transportation barriers, such as installation of bus wheelchair lifts:
Specify what and how many other reasonable modifications:

H. Indicate the total number of each type of functional limitation in all reasonable modification requests.
Breathing:
Sleeping:
Seeing:
Hearing:
Caring for oneself:
Ingesting (Eating/Drinking):
Thinking:
Concentrating:
Learning:
Reading:
Speaking:
Writing:
Interacting with others:
Sitting:
Reaching:
Manipulating:
Standing:
Walking:
Bending:
Lifting:
Specify other functional limitations, not diagnoses:

I. Indicate the total number of reasonable modification requests from members of the public in each status.
Approved:
Pending:
Not Approved:

J. Indicate the total number of each type of reasonable modification actually provided.

Modification to policy, procedure, rule, or practice:
Adjustment to application process:
Adjustment to eligibility process:
Removal of architectural barriers, such as provision of alternative meeting areas:
Removal of communication barriers, such as provision of materials in alternative formats:
Removal of transportation barriers, such as installation of bus wheelchair lifts:
Specify what and how many other reasonable modifications:

K. Indicate the total cost incurred for all reasonable modifications. Do not include costs for staff time spent securing the modifications.

L. Indicate the total number of reasons for all reasonable modification requests not approved.
No disability:
Modification not reasonable:
No modification available:
Undue burden:
Request withdrawn:

M. Indicate the total number of any complaints, charges, or lawsuits filed regarding reasonable modification requests:

N. Indicate the total number of each disposition of all of the filings.
Substantiated:
Pending:
Unsubstantiated:
Settled:

Comments:

Indicate the person completing this form.
Name:
Email:
Phone with area code:
Fax:
Before submitting this survey, please print a copy for your records. After hitting submit, you will receive an email confirmation.
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