Attestation Form 2

Process request for accomodation, if applicable

This section needs to be filled out by your manager.

I have recieved and reviewed the documentation (required)

Necessary supporting documentation; or
Alternative documentation in consultation with my departmental HR specialists;
The supporting documentation will be retained as per information management protocols, retention guidelines and in accordance with the Privacy Act and its Regulations (Manager acknowledgement is required)

Decision

Duty to accomodate (required)

Duty to accommodate does not apply (refer to Policy on COVID-19 Vaccination for the Core Public Administration Including the Royal Canadian Mounted Police
Duty to accommodate applies (I have reviewed and accepted the justification)

Accomodation duration (required)

Permanent; or
Time limited, expiring on (enter DATE): (required)

Accomodation measure (required)

Performing regular duties/responsibilities through telework supported by a telework agreement as per the Directive on Telework ;
Assigning alternate duties/responsibilities that can be done through telework supported by a telework agreement as per the Directive on Telework;
Testing as per Health Canada testing framework; and/or
Other measures (must specify):

For privacy reasons, only include information related to the accommodation measure being taken, not information related to the employee's personal accommodation request. Examples could include adjusted hours, flexible schedule, etc.

Acknowledgement of discussion:

The employee and I have discussed this request for accommodation and the resulting decision.
My manager and I have discussed my request for accommodation and the resulting decision.