Workplace Accommodation Request Tool

Use this tool to create a letter to request a workplace accommodation. If you haven't already, read Asking for an Accommodation at Work for more information about using this tool to request a workplace accommodation.

To create your letter, follow these steps:

1. Complete the form below
2. Click the "Submit" button
3. You will be taken to a new page that has a PDF of your letter
4. Download or print the PDF of your letter
5. Submit your letter to the employer via email, mail, or in-person

Please note: this tool will not submit the letter to the employer. You must download or print the letter and submit it to the employer.

Languages: this Workplace Accommodation Request Tool is available in English and Spanish. Be aware that DRTx recommends that you provide your request in a language understandable to the party or entity receiving it, which in most circumstances will be English.

Form

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