Remote Work Accommodation Letter
Request remote work as a reasonable accommodation.
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[Your Full Name]
[Your Address]
[City, State ZIP]
[Date]
[HR Manager Name]
[HR Title]
[Company Name]
[Company Address]
RE: Request for Remote Work as a Reasonable Accommodation
Dear [HR Manager Name]:
I am writing to formally request remote work as a reasonable accommodation in connection with my role as [Job Title]. This request is related to [Reason for Accommodation, e.g., a documented medical condition / a disability], and I am submitting it so that we can engage in an interactive process to identify an arrangement that allows me to perform the essential functions of my position.
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When to Use This Template
Use this when you need remote work as an accommodation for a disability, medical condition, or other protected reason. This letter frames the request within ADA or other legal frameworks.
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Important Disclaimer
This template is provided for informational and educational purposes only and does not constitute legal, financial, medical, or professional advice. Every situation is unique. You should consult with a qualified attorney or licensed professional before sending any formal correspondence, especially for matters involving legal rights, government agencies, financial disputes, employment issues, or family court proceedings. Use of this template does not create an attorney-client or professional-client relationship. Formal Letter Templates is not a law firm and does not provide legal services.