Reasonable Adjustment Request form template

Reasonable Adjustment Request form template

Our Reasonable Adjustment Request Form Template enables employees to request accommodations, ensuring inclusivity and compliance with disability regulations.

£7.90
Specifications
Access 12 months (includes updates)
Length 102 words · 1 page
Jurisdiction England, Wales and Scotland
Based on UK employment law, ACAS guidance
Last review 28/06/2026
Next review 28/12/2026
Delivery Instant download
Formats .doc · .xls · .txt · email

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Template

Reasonable Adjustment Request

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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What is a reasonable adjustment request form?

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.

The wider HR process

Related HR resources and workflow

Explore the HR resources that may be relevant before and / or after using the Reasonable Adjustment Request form, helping you understand the wider process, maintain appropriate documentation and follow a consistent approach.

Previous
Policies
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.

This
Reasonable Adjustment Request form
Next
Forms
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.

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To continue reading, purchase this item or a parent toolkit, library or our full library.

Compliance

UK employment law and best practice

  • Equality Act 2010: Mandates employers to make reasonable adjustments for employees with disabilities or health conditions.

  • Data Protection Act 2018 (incorporating GDPR): Dictates the handling of personal data within the reasonable adjustment request form in compliance with data protection principles.

  • Health and Safety at Work Act 1974: Obliges employers to ensure the health, safety, and welfare of employees, which may include making reasonable adjustments.

  • Employment Rights Act 1996: Sets the legal framework for employment contracts and terms, including the provision of reasonable adjustments.

  • 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.

UK employment law guidance for Reasonable Adjustment Request form template

Related Wellbeing HR templates

Frequently Asked Questions

Can I use this in my small business?

Yes. This template has been designed for organisations of all sizes, including small businesses, charities and growing employers. It follows UK employment law best practice and can be adapted to suit your organisation.

Is it compliant with 2026 UK employment law?

Our templates are developed with UK employment legislation, Acas guidance and HR best practice in mind and are reviewed and updated as relevant requirements change. However, every employment situation is different, so the template should be adapted to the circumstances and checked against the employee's contract and your organisation's procedures before use.

Can I customise it for my organisation?

Yes, we highlight the areas of the document 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.

Do I get instant access to it?

Yes. Once purchased, you'll be able to download it instantly. Templates are provided in editable format (such as .doc or .xls) so you can customise them easily, and in PDF format for easy sharing.

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 the Reasonable Adjustment Request form template, along with other HR templates and policies for fully managing your situation. These may be more cost-effective if you need deeper advice.

Why should I use this Reasonable Adjustment Request form template, and not AI to generate it?

AI can produce a document quickly, but effective HR documentation needs to be more than well-written words. It needs to reflect relevant UK employment law, HR best practice, practical considerations and the circumstances in which it will be used. These resources have been professionally developed around that wider HR context, drawing on extensive practical experience, rather than simply generating a generic document from a prompt.

About the author

Darryl Horn, Chartered HR Director

Darryl is a Chartered HR professional with over 25 years' experience in senior HR and employee relations roles.

He has extensive practical experience of managing wellbeing processes and founded hrdocbox to provide businesses with practical, professionally developed HR resources grounded in UK employment law and best practice.

Executive recommendation

"Darryl provides support and advice with excellent judgement, and has a strong understanding of people, policies and UK employment legislation."

"He is someone I trust; consistent, dependable, and committed to doing things properly."

RB
Ruth Brock Chief Executive Officer The Hygiene Bank
The Reasonable Adjustment Request form template is also included in these bundles:

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