Reasonable accommodation letter from doctor for housing 2025

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  1. Click ‘Get Form’ to open the reasonable accommodation letter in the editor.
  2. Begin by entering the 'Date of Request' at the top of the form. This is essential for tracking your request.
  3. Fill in the 'Local Housing Agency' name where you are submitting your request. This ensures it reaches the correct office.
  4. Provide your 'Head of Household' name, along with your Social Security Number (SSN) and complete address including City, State, and Zip Code.
  5. Indicate if the request is on behalf of any family member(s) by listing their names in the designated section.
  6. Clearly state the specific reasonable accommodations you are requesting in the provided field.
  7. Outline your reasons for requesting these accommodations, ensuring to provide sufficient detail to support your case.
  8. Sign and date at the bottom of the form to validate your request. Remember to attach any supporting documentation from a medical professional.

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The employees doctor sends the employer a letter, stating that the employee is released to return to work, but with certain work restrictions. (Alternatively, the letter may state that the employee is released to return to a light duty position.) The letter constitutes a request for reasonable accommodation.
Examples of reasonable accommodations include providing interpreters, readers, or other personal assistance; modifying job duties; restructuring work sites; providing flexible work schedules or work sites (i.e. telework) and providing accessible technology or other workplace adaptive equipment.
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.
Reasonable accommodation can include, but is not limited to, the following: Changing job duties. Providing leave for medical care. Changing work schedules. Relocating the work area. Providing mechanical or electrical aids.
[Employer] will ensure that persons with disabilities are provided reasonable accommodations for the hiring process. If reasonable accommodation is needed, please contact [include name and/or department, telephone, and email address, etc.].
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A reasonable accommodation is any change or adjustment to a job or work environment that permits a person with a disability to participate in the job application process, to perform the essential functions of a job, or to enjoy benefits and privileges of employment equal to those enjoyed by staff without disabilities.

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