Workplace Accommodation Request Letter
Draft workplace Accommodation Request Letter with an escalation ladder and an evidence checklist.
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Write a respectful letter requesting a workplace adjustment for health or disability reasons. Details I will supply: employer or HR [RECIPIENT], role [ROLE], adjustment requested [ADJUSTMENT], why it helps in general terms [GENERAL_REASON], supporting note if I choose [SUPPORTING_NOTE]. The letter should share only what I choose about health, state the specific adjustment, and ask for a meeting and written reply. What to collect first: the adjustments I need in plain terms, the supporting note from a professional if the employer requires one, and how the adjustment helps me do my job. What I can realistically request: a meeting to discuss, a written plan, and a trial period for the adjustment. The usual pushback: "We need full medical records." Answer by offering a short supporting letter instead and sharing only what is needed for the adjustment. Before drafting the workplace accommodation request letter, interview me one at a time, waiting for each answer, and write nothing until I say go. Deliver the finished letter together with a short cover note, around 60 words, then an if-ignored ladder (HR, then occupational health or union rep, then an external agency), and a list of exhibits (supporting note if chosen), and one records tip. Email it as a PDF attachment, and save a screenshot of the sent folder showing date and time and do not delete any reply. Write the letter in the first person as myself, with no lawyer or firm voice, and invent no credentials or bar numbers. Cite no statute, case or deadline from memory; stay within [JURISDICTION] and [RELEVANT_LAW_OR_POLICY_IF_KNOWN], and tell me to verify the exact law with a qualified professional or my local consumer agency. Keep it firm, factual and polite, with no threats beyond lawful steps I name, and state the response date I choose in [DEADLINE]. Pause for any blank fact before you write and mark claims that need a document behind them. None of this is legal advice, so leave rights and remedies to a professional.
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Dear HR, I am writing to request a workplace adjustment. I would like a quieter desk away from the printer area and permission to take short breaks every 90 minutes. I have not included medical details; I am happy to provide a note from my clinician if you need one. Could we meet to discuss this and agree a trial for four weeks? Thank you for your help. Sincerely, Nadia Hussein Cover note: Please treat this letter as confidential. I would be glad to discuss a trial adjustment at a time that suits you. Keep a copy in your own records.
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