A production worker with intellectual or cognitive impairment and Cerebral Palsy had difficulty grasping a plastic bottle to accurately apply an adhesive label. JAN suggested making a wooden jig to hold the bottle while the employee applies the label. Approximate accommodation cost was under $50.

A cookie maker with intellectual or cognitive impairment cannot count, but must bake cookies in sets of twelve. JAN suggested using a twelve-hole plastic template, which is inserted on the cookie sheet during preparation, but removed before baking. The employee can use the template as a guide, filling every hole in the template with cookie batter, ensuring that she makes twelve cookies every time. Approximate accommodation cost is under $20.

A grocery stock person with Autism cannot remember to wear all parts of his uniform. JAN suggested taking a picture of the employee in full uniform. Give him the picture, and allow him to use the picture as reference when preparing for work. Approximate accommodation cost is $5.

A video store clerk with Fragile-X did not know her ABCs, and could not read movie titles. She had difficulty stocking returned videos to the shelf. JAN suggested the employer make xerox picture labels for the movie cases that matched shelf display boxes. This will allow the employee to match pictures, not words, when returning videos to the shelf. Approximate accommodation cost is under $75.

A cleaning staff person with Asperger Syndrome was not cleaning to quality standards. JAN suggested using a job coach to model skills and techniques for cleaning. JAN also suggested using a multi-set alarm watch to help the employee budget time, allowing herself enough time to complete each task to the employer's standards. Approximate accommodation cost is under $35.

A production line worker with intellectual or cognitive impairment wears bulky safety gloves and uncomfortable safety glasses while separating cardboard in manufacturing plant. Her productivity is below average. JAN suggested purchasing correct size safety gloves, so her manual dexterity is not affected. JAN also suggested purchasing correct size safety glasses, so employee is not losing time pushing her glasses up. Approximate accommodation cost is under $100.

A grocery store clerk with intellectual or cognitive impairment cannot tell time. He does not know when to take his break, and is often late returning from breaks. JAN suggested using a multi-set alarm watch that beeps or vibrates. A supervisor can set the alarm to alert employee when to go on break, or return from break. Approximate accommodation cost is under $35.

A kitchen worker with Autism has difficulty controlling emotions at work when his routines or job tasks are changed. JAN suggested providing employee with a picture chart, which would identify all tasks to be completed in a week. Meet with the employee daily or weekly to remind the employee of upcoming tasks or changes in routine, so he will not become anxious or upset. Approximate accommodation cost is $0.

A janitor with intellectual or cognitive impairment and Prader-Willi Syndrome cleans physician's offices at night. His compulsion to eat any food product prevents him from staying on task, and sometimes makes him sick. JAN suggested storing all food in a locked cabinet or locked area. JAN also suggested providing a job coach for this employee, to help keep him on task, and to model appropriate behavior. Approximate accommodation cost is under $250.

A clerical aid with Down Syndrome would sometimes get lost or become disoriented when delivering mail items to different floors in her building. JAN suggested providing an employee with a color-coded map of the building, identifying each department or office, and location of elevators. This employee could also use a walkie-talkie to communicate with a supervisor in the event she was lost in the building. Approximate accommodation cost is under $75.

A mail clerk with fetal alcohol syndrome has difficulty filing forms alphabetically, and has difficulty reading hand-written labels. JAN suggested making print labels for the files. JAN also suggested providing an ABC poster in the filing area for the employee to use as an educational reference. Approximate accommodation cost is $10.

A receptionist with cerebral palsy could not remember how to transfer telephone calls, due to a cognitive deficit. JAN suggested providing a color-coded flip chart that would explain the procedures one step at a time. This employee can keep the flip chart by her phone, to refer to as needed. Approximate accommodation cost is under $30.

A social worker with Asperger Syndrome works for a group home. He is extremely disorganized, and often comes to work unprepared. JAN suggested making a list of job-essential items (keys, cell-phone, calculator, day-planner, and roster) for the employee to tape inside his book bag. The employee can review the list prior to leaving for work, to make sure he has the items he will need to perform his job tasks. Approximate accommodation cost is $5.

A cafeteria worker with intellectual or cognitive impairment cannot remember to clock out after completing his shift. He also forgets to turn in keys that will be used on the next shift. JAN suggested posting a reminder at the employee exit, one with words and pictures that asks, "Did you clock out? Did you return the keys?" Approximate accommodation cost is $0.

A mail clerk with spina bifida cannot stay on task because she is easily distracted by conversations in the workplace. JAN suggested allowing the employee to wear a headset that plays music, or providing her with a radio or an environmental sound machine at her workstation. Approximate accommodation cost is $65.