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Follow these steps when an employee raises medical or environmental factors as a concern in job performance or conduct.

The employee/applicant completes Part I, Employee’s Statement of Disability. The requesting employee’s supervisor, or in the case of an applicant, the Personnel Director will review the form to determine if further action is necessary. Instruct the employee/applicant to use an additional piece of paper or the back of the form, if necessary, to completely answer the questions.
The supervisor/Personnel Director completes Part II, Supervisor’s Statement, to identify those performance, conduct or attendance problems the employee/applicant is experiencing.
The employee/applicant provides acceptable medical evidence to support his/her claim to the employee’s supervisor or Personnel Director, as appropriate. The supervisor/Personnel Director will provide Part III, Physicians Statement to the employee/applicant with a copy of the appropriate position/job description, performance elements and standards, and the physical and environmental factors identified for the position. Provide copies of Parts I and II to the physician, if appropriate.
Provided the medical evidence is sufficient, the appropriate supervisor/Personnel Director will complete Part IV, Agency Certification of Accommodation Efforts. If any accommodation is granted or denied, a copy of Part IV should be mailed or Faxed to the DoDEA Equal Employment Opportunity Office.

Mailing Address

  • DoDEA Equal Employment Opportunity Office
  • ATTN: Disabilities Program Manager
  • 4040 North Fairfax Drive, Arlington, VA 22203-1634

FAX: (703) 696-9059.

DoDEA DMEO Pamphlet 01-EEO-01 Procedures to Facilitate the Provision of Reasonable Accommodation

Manager's Quick Reference Guide - Table of Contents
DoDEA Americas DMEO Contacts

DMEO Program Manager

Phone: 678-364-6655
Blackberry: 678-554-9687
Fax: 770-632-8720

DMEO Counselor

Phone: 678-364-8013
Fax: 770-632-8720

Employees and applicants must contact the EEO Office at: 700 Westpark Drive, 3rd Floor, Peachtree City, GA 30269 (phone numbers above), within 45 days of the discriminating act to begin complaint counseling. EEO counselors assigned to process informal complaints are appointed by the EEO Chief. They are not advocates for management or the complainant, but serve as an impartial third party.


DoDEA Diversity Management and Equal Opportunity (DMEO) Program

EEO Complaint Process

Quick Reference Guide for Managers - Discrimination and Sexual Harassment Allegations

DoDEA EEO Policy

Reasonable Accommodation Policy

DoDEA EEO Regulation 5713.9

EEOC Regulations on Federal Sector EEO, 29 C.F.R. Part 1614

Equal Employment Opportunity Commission (EEOC) Website