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Reasonable Accommodation Request Letter
Free reasonable accommodation request letter template — an employee formally requests a workplace accommodation for a disability or religious need.
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This free reasonable accommodation request letter covers Requested Accommodation, Reason for the Request, Supporting Documentation with 4 clearly marked [placeholder] fields to fill in — built for small business owners and first-time managers handling an HR moment professionally without a dedicated HR department to lean on. Copy it into your own word processor, fill in the placeholders, and review it — or adapt it — before use. It's part of docstoc's free document template library, alongside business, legal, real estate, finance, and HR templates. Every template here is free to copy with no signup required, and each one carries a plain disclaimer: this is a starting point for informational purposes, not a substitute for advice from a licensed professional in your jurisdiction.
Reasonable Accommodation Request Letter
[Date]
Dear [Manager/HR Name],
I am writing to request a reasonable accommodation related to [a disability / a sincerely held religious belief or practice], consistent with my rights under [the Americans with Disabilities Act / Title VII, as applicable].
Requested Accommodation
[Describe the specific accommodation requested — e.g. a modified schedule, assistive equipment, a remote work arrangement, time off for religious observance.]
Reason for the Request
[Brief explanation of the limitation or need the accommodation addresses — you are not required to disclose a specific diagnosis, only enough information to support the request.]
Supporting Documentation
[ ] Supporting documentation from a healthcare provider/religious leader is attached, if requested by the company. [ ] I am prepared to provide supporting documentation if requested.
I would welcome the opportunity to discuss this request and explore options together. Thank you for your consideration.
Sincerely, [Your Name]
*Employers are legally required to engage in an "interactive process" once a request like this is made — a request doesn't have to name a specific accommodation to trigger that obligation, but describing what you actually need (as this letter does) tends to get to a workable solution faster than a vague request alone.*
Edit directly in the box above. Download PDF anytime — the docstoc.io footer is always included and cannot be removed.
What's included
- Edit online — click the document, fill in placeholders, download a PDF
- 3 standard sections: Requested Accommodation, Reason for the Request, Supporting Documentation
- 4 clearly marked [placeholder] fields for quick personalizing
- Free to use — no account or signup required
- Fully editable — adjust any clause to match your actual situation
- Fixed docstoc.io footer on every PDF (not removable)
Who this template is for
Freelancers & solo founders
Handling routine business paperwork without commissioning custom legal drafting for every document.
Small businesses
Standardizing recurring documents — leases, agreements, notices — across a growing operation.
Anyone reviewing before signing
Using a clear starting structure to understand what a document should cover, even if a lawyer finalizes it.
Growing teams
Formalizing hiring and performance processes as a company adds its first employees.
FAQ
Is this reasonable accommodation request letter template really free?
Yes. Like every template in docstoc's library, this reasonable accommodation request letter is free to use, with no account or signup needed to view, edit, or download it.
What does this reasonable accommodation request letter cover?
This hr template includes Requested Accommodation, Reason for the Request, Supporting Documentation. Fill in the [bracketed] placeholders, edit any clause online, then download a PDF — the docstoc.io footer stays on every export.
Is this legal advice?
No. This follows common HR practice, but requirements around notice, classification, and required disclosures shift by state and change over time. Get an employment attorney or HR professional to confirm compliance for your specific situation before relying on it.
Can I edit the wording?
Yes. All 4 placeholder fields and every clause are editable right on the page — change what doesn't fit, then download an updated PDF anytime.
Where can I find more free templates like this?
Browse more free hr and related document templates in the docstoc library at /document-templates/.
More free document templates
- Employee Offer Letter
- Employee Written Warning / Disciplinary Notice
- Employment Agreement
- Cover Letter
- Employee Handbook Outline
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Templates are drafted for general use, not a substitute for legal advice — check the note on each page for specifics.
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Copy the subject and body directly — no form to fill in, no export step, no waiting on a download link.
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