Reasonable Adjustment Request form template
Our Reasonable Adjustment Request Form Template enables employees to request accommodations, ensuring inclusivity and compliance with disability regulations.
- 1 page / 102 words.
- Last updated 30/09/2025.
- Designed for United Kingdom use.
- Suitable for use in other territories; check local laws first.
- Instantly download as Word / PDF / plain text, or send by email.
- Includes 12 months’ access, with all updates to this page provided free of charge and notified to you.
Reasonable Adjustment Request form
Employee Information:
Name: _________________________
Employee ID: ___________________
Department: ____________________
Job Title: _______________________
Contact Details: ________________
Nature of Disability/Condition:
Please describe the disability/condition for which you are requesting reasonable adjustments:
Requested Adjustments:
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The Reasonable Adjustment Request Form allows employees to formally request accommodations or modifications to their work environment, tasks, or procedures to accommodate their specific needs or disabilities. It provides a structured process for employees to communicate their requirements, enabling employers to consider and implement appropriate adjustments to support their inclusion and participation in the workplace.
This form promotes inclusivity and equal opportunities by facilitating open communication between employees and employers regarding reasonable adjustments.
It helps ensure that employees with disabilities or specific needs receive the necessary support to perform their roles effectively and access the same opportunities for career progression as their colleagues.
It is usually delivered to the Employer / HR by the Employee.
It should be actioned as and when required.
Compliance
Compliance
This Reasonable Adjustment Request form template incorporates relevant UK laws and HR standards, including those listed below:
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Equality Act 2010: Mandates employers to make reasonable adjustments for employees with disabilities or health conditions.
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Data Protection Act 2018 (incorporating GDPR): Dictates the handling of personal data within the reasonable adjustment request form in compliance with data protection principles.
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Health and Safety at Work Act 1974: Obliges employers to ensure the health, safety, and welfare of employees, which may include making reasonable adjustments.
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Employment Rights Act 1996: Sets the legal framework for employment contracts and terms, including the provision of reasonable adjustments.
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Disability Discrimination Act 1995 (DDA): Though repealed, previous versions of the DDA established obligations similar to those in the Equality Act regarding reasonable adjustments for disabled employees.
Flowchart
Flowchart
Check which resources should be implemeted before and/or after the Reasonable Adjustment Request form template, to understand the workflow.
Reasonable Adjustment policy
Our Reasonable Adjustment Policy Template ensures fair treatment and accessibility for employees with disabilities, outlining procedures for identifying, implementing, and reviewing accommodations to support their work performance and wellbeing.
Reasonable Adjustment Assessment Checklist form
Our Reasonable Adjustment Assessment Checklist Form Template helps evaluate and implement accommodations, ensuring fair treatment and accessibility for employees with disabilities.
Frequently Asked Questions
Frequently Asked Questions
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Can I use this template in my small business?
Yes. The Reasonable Adjustment Request form template is designed to be flexible and suitable for organisations of all sizes, including small businesses and charities. It follows UK employment law best practice, so even if you don't have an in-house HR team, you can confidently apply it.
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Is this template compliant with 2025 UK employment law?
Absolutely. All of our templates are drafted with the latest ACAS guidance and UK employment legislation in mind. We review and update them regularly, so you can be confident they remain compliant.
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Can I customise it for my organisation?
Yes, we highlight the areas that you need to update with your own details, and where you need to make decisions to suit your situation. This saves you time and ensures that you meet best practice.
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Do I get instant access?
Yes. Once purchased, you'll be able to download it instantly. Templates are provided in editable Word or Excel format so you can customise them easily, and in PDF format for easy sharing.
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What if I need more help, not just this template?
If you're looking for broader support, we also offer toolkits and library bundles that include this template, along with other HR templates and policies for fully managing your situation. These may be more cost-effective if you need deeper advice.
