Workplace Support / Accommodation Request

To: Manager or HR contact

From: Your name

Date: Date

I am requesting a conversation about workplace support and reasonable accommodation. I am experiencing barriers related to:

The change(s) I would like to explore are:

I believe these changes may help me perform the essential functions of my role by:

I am available to participate in the interactive process and discuss effective alternatives. Please let me know the next step, the person responsible for review, and any information needed.

Thank you,
Your name

Judy can help you draft language, but this letter is controlled by you. It is not legal advice, a diagnosis, medical documentation, or a guarantee of accommodation. Review it carefully and consider appropriate professional support for your situation.