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