988   Call or text 988 anytime · Suicide & Crisis Lifeline · TTY 1-800-799-4889 · Veterans press 1 · 988lifeline.org

ADA Reasonable Accommodation Request Letter

This letter requests an ADA reasonable accommodation related to a mental health condition. You don't have to disclose your specific diagnosis — the ADA just requires you to identify the functional limitation and propose an accommodation.

Consider consulting with an attorney or an EEOC/ICRC contact before sending. This tool generates a template; it is not legal advice.

Your employer's name:

Your role / position:

What accommodation are you requesting (in your own words):

I'm willing to provide medical documentation if requested

(ADA permits employers to request medical documentation supporting the accommodation. Including this offer in your letter signals good-faith participation in the ADA's interactive process.)

Sign as:

Generate letter

← Back