Law Office of Arkady Itkin 

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Sample Letter Request to Provide Reasonable Accommodations at Workplace

Below is a sample letter that an employee that needs and accommodation should provide to his employer as soon as such an accommodation is needed: 
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Dear Supervisor / Director / HR Manager,  

As you may know, I suffer from (name of disability/illness) / I recently suffered an injury to my back.. I would like to have an opportunity to discuss with you, or anyone else who is authorized to do this at the company, how my condition can be reasonable accommodated, as provided by ADA and FEHA (Fair Employment and Housing Act). Please contact me at your earliest convenience to discuss. I will be happy to provide the necessary medical documentation to support my request for accommodation. 

Thank you. 
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Send the above request to more than one manager, if possible. Ideally, you should submit one copy to your immediate supervisor, and one copy to your human resources manager, charged with compliance with disability laws at workplace. 

Feel free to contact us if you have any questions about requesting reasonable accommodations at workplace. 

Law Office of Arkady Itkin - San Francisco & Sacramento Injury and Employment Lawyer