ADA Accommodation Request letter template

Government

Formally request a reasonable accommodation under the ADA.

Template preview

[DATE]

[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]

Bracketed fields are filled in automatically from your answers, then rewritten by AI into a professional letter in your own voice.

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What you'll need

• Recipient
• Recipient address
• Your name
• Your address
• Requested accommodation
• Facts
• Desired outcome

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