Skip to content
LeaveRights Project
All Templates
Accommodation & Leave Requests

Request Sensory Accommodations

Fill in the fields below and preview your letter. Copy to clipboard or download. Nothing is saved.

Fill In Details
Preview
Dear [Recipient Name],

I am writing to formally request reasonable accommodations under the Americans with Disabilities Act (ADA), 42 U.S.C. § 12112(b)(5)(A).

I have a qualifying condition that affects my ability to work in environments with [Sensory Triggers]. To perform the essential functions of my position, I am requesting the following reasonable accommodations:

[Accommodations List]

These accommodations would enable me to perform my job duties effectively. I am happy to engage in the interactive process required by the ADA to identify accommodations that work for both of us.

I have supporting documentation from my healthcare provider available upon request. Please let me know the next steps in the accommodation process.

Sincerely,
[Your Name]