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Reasonable adjustments request template

When requesting adjustments, use a polite, friendly and positive tone.

Warning Important

Use this template letter for requesting reasonable adjustments only when previous requests for adjustments have been ignored or refused.


[Your address]

[Employer’s name]
[Employer’s address]

Dear [name of the person you are writing to],

Subject: Reasonable Adjustment Request

I am writing to ask for some changes to my work arrangements. I want to be able to do my job well and making these changes will support me to do that.

[Explain how your impairment or condition affects your work. Give the facts, be specific and clear.


  • the adjustments you need at work before you can start working
  • future adjustments
  • how this would help you do your job better
  • if possible, explain how the employer can make these changes without disrupting the business. If you’re not sure how this might affect the business, ask if you can talk about this.]

The Equality Act 2010 says that employers have a duty to make reasonable adjustments for disabled employees when a person is at a substantial disadvantage compared with an employee who is not disabled.

Employers must take reasonable steps to address this. These can include:

  • changing policies, procedures and practices
  • changing the physical environment
  • providing extra aids and services

If it is reasonable for the employer to make a change, then it should be made.

I believe that as a disabled person, under the Equality Act 2010 I am entitled to the reasonable adjustments I have requested.

I would be happy to discuss this request in more detail, but I would like a written response within 14 days.

Yours sincerely,
[Your name]

Last reviewed by Scope on: 16/04/2021

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