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Request for Reasonable Accommodation

Professional letter template for requesting workplace accommodation under ADA

Your Name
Your Address
Date
Recipient Name
Recipient Address
Subject
Employee name and position
Disability or limitation (general terms, no diagnosis required)
Job functions affected
Specific accommodation requested
How accommodation enables job performance
Medical documentation availability
Willingness to engage in interactive process
ADA and EEOC rights reference
Closing
Signature

A well-structured letter for Professional letter template for requesting workplace accommodation under ADA.

Template Sections

  • Employee name and position
  • Disability or limitation (general terms, no diagnosis required)
  • Job functions affected
  • Specific accommodation requested
  • How accommodation enables job performance
  • Medical documentation availability
  • Willingness to engage in interactive process
  • ADA and EEOC rights reference

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