Although some accommodation requests are fairly routine to consider, other requests could fundamentally alter the course, program, or activity, and therefore may not be an appropriate accommodation to implement. How can we make that determination and feel sure about our decision? This workshop will guide practitioners through scenarios that frequently arise in this work, including requests for remote attendance, extra time on skills-based or lab exams, and flexible deadlines. The presenters will provide a framework for consulting with faculty, eliciting necessary information from students and establishing a sound process for evaluating the request and when necessary, determining if it constitutes a fundamental alteration.