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Reasonable Accommodation Request Form (ADA)

Author: Steven J. Luckner, Ogletree Deakins

When to Use

The Americans with Disabilities Act (ADA) requires an employer to provide an employee with a disability a reasonable accommodation to help the employee perform the essential functions of his or her job. An accommodation is not reasonable if it causes a significant difficulty or expense (i.e., undue hardship) on the employer's business. This form will help an employer obtain information from the employee concerning his or her accommodation request, including relevant limitations, the impact of the limitations on the performance of essential job functions, the nature of the requested accommodation and employee health care provider information.