June 1, 2026 [recipient name] [recipient address] Re: Request for Reasonable Accommodation — Americans with Disabilities Act Dear [recipient name]: Pursuant to Title I/III of the Americans with Disabilities Act, 42 U.S.C. § 12101 et seq., I am formally requesting the following reasonable accommodation: [accommodation] Facts / supporting context: [facts] Requested resolution: [desired outcome] I request that we engage in the interactive process required by the ADA. Please respond in writing within fourteen (14) days with either an agreement to provide this accommodation, a proposed alternative, or a written explanation of any claimed undue hardship. Sincerely, [user full name] [user address]
ADA Title I · Workplace Accommodation
Need to request a leave as an accommodation adjustment for a health condition?
Generate a formal Accommodation Notice to initiate the official interactive process.
You do not have to struggle in an environment that doesn't accommodate your documented medical needs. Federal compliance frameworks protect your right to reasonable adjustments. Use our informational utility to generate a professional Accommodation Request — such as intermittent leave, extended unpaid leave beyond FMLA, or a finite block of time away from work for treatment or recovery — that clearly outlines your requirements to the responsible decision-maker.
Your rights: the ADA Title I framework
Governing statute
Title I of the Americans with Disabilities Act (42 U.S.C. § 12112)
Employers with 15 or more employees must provide reasonable accommodations to qualified individuals with disabilities and must engage in the mandatory interactive process upon request.
Mandatory interactive process
Title I requires a documented good-faith interactive process. A formal written request starts the legal clock and protects you under the ADA's anti-retaliation provisions.
Protected status
Formally documenting your request establishes an official timeline, protecting your standing and preventing your request from being filed away or ignored.
What you're requesting
A leave as an accommodation accommodation, such as intermittent leave, extended unpaid leave beyond FMLA, or a finite block of time away from work for treatment or recovery.
Documentation to gather
Gather a provider letter estimating the duration of needed leave, document any prior approved leave periods, and identify your expected return-to-work timeline.
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Government
ADA Accommodation Request
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The person, company, or agency this letter is addressed to.
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Other accommodations for workplace accommodation
- Remote Work / Telework Flexibility — Workplace Accommodation
- Modified or Reduced Schedule — Workplace Accommodation
- Assistive Technology — Workplace Accommodation
- Workstation Modification — Workplace Accommodation