Reasonable Accommodation Request Letter
A short letter you can copy, fill in, and send when you want to put an accommodation request in writing. Adapt it so it sounds like you.
Before you send, fill in
- Your name
- Your role or team
- Manager or HR contact name
- Date
- A brief description of the barrier
- The specific change you are requesting
The letter
Dear [Manager or HR contact name],
I am writing to request an adjustment at work related to a health condition. I want to keep doing my job well, and I believe a small change would help me do that.
Specifically, I would like to request: [the specific change you are requesting]. This would help with [a brief description of the barrier].
I am happy to discuss options, and I am open to alternatives that would work just as well. If it would help, I can provide supporting information from my healthcare provider.
Thank you for considering this request. I would appreciate the chance to talk it through at your convenience.
Sincerely,
[Your name], [Your role or team]
Text in [brackets] is a placeholder for you to replace.
A template, not legal advice.This is a general starting point, and it will not fit every situation. Adapt it to your own circumstances. If things are complicated or a deadline is near, consider talking to an employment lawyer or a local disability rights organization.
Not sure what to ask for? Start with a condition guide or read how the interactive process works.