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]