A clearer way to ask
Workplace Adjustment Request Letter Template
Asking for workplace adjustments can feel difficult if the route is unclear. A good request explains the barrier, the support being asked for, why it may help and how it should be reviewed.
A good request includes
The clearer the request, the easier it is to respond well.
A good request includes
The clearer the request, the easier it is to respond well.
Copy or download: workplace adjustment request letter
Replace the bracketed prompts in your own document. No account is needed. Keep the record focused on relevant work barriers and the support to discuss.
Subject: Request to discuss workplace adjustments Dear [manager or HR contact], I would like to discuss a workplace adjustment for my role as [role]. The work-related barrier is [task or situation]. It affects my work by [practical impact]. I would like to try [adjustment]. This may help by [how it reduces the barrier]. An alternative we could discuss is [alternative]. Could we arrange a conversation on [suggested date or timeframe]? Please let me know who will coordinate the next steps. If we agree a trial, I suggest reviewing it on [date] using [how we will tell whether it helps]. Please discuss with me what information needs to be recorded and who needs access to it. Thank you, [Name] [Preferred contact method]
See a completed fictional example
Fictional example — adapt to your own situation. Dear Morgan, In my project coordinator role, action points are difficult to capture when several people speak at once in planning meetings. This can leave me unsure about priorities afterwards. Could we trial an agenda before the meeting and a written action list afterwards, with one owner and due date per action? I can help check the list before it is shared. Could we discuss this next week and agree a review date? At the review, we could check whether priorities are clearer and whether fewer follow-up clarifications are needed. Please agree with me what needs to be shared with the team. Thank you, Alex
What the request should do
A workplace adjustment request should help the employer understand what barrier exists and what support may reduce it.
It does not need to include unnecessary personal detail. It should focus on relevant workplace impact and practical support.
If the organisation has a formal process, use that process. If not, a clear written request can help create a record.
Request structure
1. Open clearly
Say that you are requesting workplace adjustments.
2. Explain the barrier
Describe what makes work, communication or access harder.
3. Suggest support
List the adjustment or adjustments that may help.
4. Add context
Explain where the support applies, such as meetings, tasks or environment.
5. Ask for a response
Request a discussion or confirmation of next steps.
6. Suggest review
Ask for the adjustment to be reviewed after a suitable period.
What to avoid
Over-sharing
Only include information relevant to the workplace barrier and support need.
Being too vague
Try to explain what support may help, not only that work is difficult.
Forgetting review
A review point helps keep support useful.
Losing the record
Keep a copy of the request and any response.
From request letter to managed follow-through
A letter can start the conversation. It does not manage the process after that. AXS Passport helps organisations create a clearer route for access needs and adjustment requests.
Guided profiles
People can describe support needs more clearly.
Request management
Adjustment requests can be reviewed and followed through.
Records
Decisions and next steps can be maintained.
Review
Support can be revisited over time.
Move from request to follow-through
AXS Passport helps organisations manage adjustment requests, records and review in one clearer process.