Reasonable Adjustment Request form template

Reasonable Adjustment Request form template cover image
Reasonable Adjustment Request
Template
Reasonable Adjustment Request form template cover image
£15

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

  • 1 page / 102 words
  • Instantly download as Word / PDF / plain text
  • Suitable for worldwide use (but check local legislation)
  • Includes 12 months’ access, with all updates to this page provided free of charge and notified to you.
SAVE 30 mins drafting and research time, and reduce your risk.

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.

Direction:
Issued from Employee to Employer (you)
Timing:
As and when required
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Compliance

This Reasonable Adjustment Request form template incorporates relevant UK laws and HR standards, including those listed below:

  • 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.

Flowchart

Check which resources should be implemeted before and/or after the Reasonable Adjustment Request form template, to understand the workflow.

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.

Frequently Asked Questions

  1. 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.

  2. Is this template compliant with 2025 UK employment law?

    Absolutely. Like the Reasonable Adjustment Request form template, 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.

  3. Can I customise this template for my organisation?

    Yes, in the Reasonable Adjustment Request form template, as with all of our templates, 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.

  4. Do I get instant access to the template?

    Yes. Once purchased, you'll be able to download the Reasonable Adjustment Request form template instantly. Templates are provided in editable Word or Excel format so you can customise them easily, and in PDF format for easy sharing.

  5. 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 a complete HR library.