Attachment V Essential Functions.pdf

This is a template form for documenting essential functions of a federal government position in support of reasonable accommodation (RA) requests. The form is completed by hiring managers or supervisors, potentially in collaboration with RA Coordinators and HR Specialists, to establish which job duties are critical to a specific position.

The form requires identification of position information including title, pay plan, occupational series, grade, position description number, and hiring manager contact details. For each essential function identified (up to five functions on this template), the supervisor must provide detailed justification addressing five specific criteria: whether the position exists to perform the function, whether limited employees are available to perform it, whether the function is highly specialized or the incumbent was hired specifically for their ability to perform it, what percentage of time is spent on the function, and what consequences would result from not performing the function. The form also requests supporting documentation such as position descriptions and job announcements that establish functions as essential. The completed form requires supervisor or hiring manager signature and date. This template serves as the foundational documentation for RA accommodation decisions by clearly defining and justifying each critical job duty.