Request for Accommodations Form 2025

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Dear [Insert employers name here]: I am writing this letter to submit a request for accommodations in the workplace. I have pain in my lower back. Sitting or standing for long periods of time in the same position is causing increased pain and is decreasing my mobility.
Respected Sir/Madam, I wrote this letter to you to request for accommodation for the month (Explain your requirement). I am (Job designation, e.g., security office ay night shift), having no relatives whatsoever in (Area name), and staying in the hostel far away. (Describe in your own words).
Content to consider in body of letter: Identify yourself as a person with a disability. State that you are requesting accommodations under the ADA (or the Rehabilitation Act of 1973 if you are a federal employee) Identify your specific problematic job tasks. Identify your accommodation ideas.
I am experiencing the following difficulties in performing my job because of my disability: . I am writing to request that you (state requested accommodation) because it will (how it will help you do your job) as a reasonable accommodation.
Sufficient medical documentation should describe the nature, severity, and duration of the impairment, the activity or activities that the impairment limits, the extent to which the impairment limits the employees ability to perform the activity or activities, and should also substantiate why the requested reasonable
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Dear [Supervisor John Smith], I am writing to request job accommodations for my diabetes under the Americans with Disabilities Act. Due to my disability, I require simple accommodations to perform my essential job functions. I have provided you with documentation of my disability and my need for job accommodations.

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