Disability Description and Specific Facilities Needed

Disability description and specific NEEDS FORM

Disability description

Declaration of specific needs

Please fill in all of the sections below giving detailed information concerning the special needs you have. If you do not need any specific adaptations, please mention: not applicable.

I will need[1]

Accessible European Parliament building(e.g. ramps, lifts instead of stairs, toilets with handrails, etc.)
Accessible office (e.g. special requirements for ergonomic desks, chairs, etc.)
Special IT-tools or other technical equipment(e.g. bigger screen, special lighting, etc.)
Other remarks

I will need[2]

Accessible housing[3](e.g. ramps, lifts instead of stairs, toilets with handrails, wider than standard doorways, landlord willing to accept guide dogs, etc.)
Accessible means of transport (e.g. transport adapted for wheelchair-users, etc.)
Assistance (transport, shopping, etc.)
Other remarks

I hereby solemnly declare that the above statements are true and complete.

Date: _

Signature: ______

Any information about your disability will be used only within the European Parliament and only for the purposes of providing the specific adaptations in the work place and of facilitating you in your search for accessible housing, transport and assistance.

1(2)

[1] The European Parliament will ensure accessibility to European Parliament buildings/offices and provide the necessary IT-tools or other technical equipment on the Parliament's premises, if feasible and if informed in good time of the specific adaptations needed.Please note that having regard to the necessary administrative procedures and short preparation time, the European Parliament cannot assure that there will be no delays in providing necessary accessibility adaptations; in case of delays the European Parliament will offer alternative temporary solutions.

[2]The European Parliament will provide trainees with information concerning possible options for accessible housing, transport and assistance, but does not guarantee the arrangement of these facilities. If trainees have special housing, transport and assistance needs, a disability allowance is provided to help cover these extra costs. No additional payment is available if trainees' expenses exceed the scholarship and the disability allowance.

[3]Please note that you are responsible for obtaining accommodation, signing the contract and paying the deposit. The European Parliament is however happy to provide you with a list of accommodation possibilities.