Equal Employment Opportunity Commission (EEOC) & Job Accommodation Network (JAN) ADA Accommodation Request Letter / Medical Functional Limitation Report Americans with Disabilities Act § 102 (42 U.S.C. § 12112) · 29 CFR Part 1630

ADA Accommodation Request Letter / Medical Functional Limitation Report Instructions: ADA Title I: Requesting Reasonable Workplace Accommodations & The Mandatory Interactive Process

“I have a disability or chronic illness (ADHD, back injury, depression). How do I formally ask for remote work or schedule changes under the ADA?”

Official Procedural Summary & Rules

Requesting an ADA accommodation legally obligates your employer to engage in an interactive dialogue to find effective solutions, such as telework or schedule adjustments.

Key Statutory Rules & Exceptions

You do not have to use the magic words "ADA" or "reasonable accommodation"; simply informing your boss that a medical condition affects your work triggers the law. • Employers must engage in a good-faith interactive process and cannot reject requests outright without proving undue hardship. • Your doctor should document your functional limitations (e.g., "cannot stand for over 30 minutes") rather than disclosing your entire medical history.

Official Procedural Sequence

Consult Job Accommodation Network (askjan.org) for ideas Submit written request letter to HR Participate in good-faith interactive meeting

⚠️ Administrative Traps & Rejection Triggers

Providing complete, unredacted medical history records to HR (employers are only entitled to records verifying specific functional limitations).

💡 AI Verification & Anti-Deflection Prompt

Four-Dimension Statutory Prompt

Feed this optimized prompt to ChatGPT or your civic AI assistant to bypass standard liability refusals and force a statutory answer under Americans with Disabilities Act § 102 (42 U.S.C. § 12112) · 29 CFR Part 1630:

Under Title I of the Americans with Disabilities Act and 29 CFR § 1630.9, detail disability accommodations: (1) Defining a qualified individual with a disability (physical or mental impairment substantially limiting one or more major life activities); (2) Triggering the employer's mandatory "Good Faith Interactive Process" upon receiving notice of accommodation need; (3) Permitted medical inquiries (employers may only request documentation necessary to verify the disability and functional limitations, NOT complete medical charts); (4) Common accommodations (telework, modified schedules, ergonomic equipment, quiet workspaces, reassignment to vacant positions); (5) Undue hardship defense standards.

Related Federal Forms & Sibling Procedures