Purpl Discounts LogoPurpl Discounts Logo
  • Join Purpl
  • Supermarket savings
  • Household essentials
  • Exclusive offers
  • Categories
  • Purpl Grant
  • Purpl Life
  • Why join
Purpl Discounts

Download the app

App StoreGoogle Play

© 2026. The Purpl Co Limited. All rights reserved.

Why join PurplHow to join PurplSupportTerms & conditionsCookie policyPrivacy policyCorporatePR and mediaAccessibility Statements

Want to save over £700 a year?

Join Purpl for £1 a monthpaid annually

Join Purpl
  1. Home
  2. Purpl Life
  3. Guides and Advice
  4. Reasonable adjustment request template: free examples for work

All Articles

7 min read

Reasonable adjustment request template: free examples for work

Written by

Georgina, Founder of Purpl

Published on

October 2, 2026

Neurodiverse woman working on a laptop in a modern office with colleagues in the background.

Last reviewed: 2 October 2026
Applies to: England, Scotland and Wales
Written by: Georgina Colman, Founder of Purpl

Use these free reasonable adjustment templates to ask for support at work, follow up on a delayed request or respond if your employer says no.

You do not need to use complicated legal language when asking for a reasonable adjustment.

The most important thing is to explain:

  • what barrier you are experiencing at work
  • what adjustment you are asking for
  • how it could help
  • whether the delay or lack of support is affecting your health or ability to work

You can copy the templates below and personalise them to your own situation.


At a glance

  • You can ask for reasonable adjustments verbally or in writing.
  • Putting your request in writing gives you a useful record.
  • You do not need to write a long explanation of your diagnosis.
  • Focus on the barrier you are facing and the support that may help.
  • If your employer does not reply, follow up in writing.
  • If they refuse your request, ask why and whether another adjustment could work.

In this guide

  • Reasonable adjustment request template
  • Follow-up template if your employer has not replied
  • Template if your reasonable adjustment has been refused
  • What should I include in a reasonable adjustment request?
  • Do I need to explain my diagnosis?
  • What if I do not know what adjustment I need?
  • What should I do after sending the request?
  • Frequently asked questions about reasonable adjustment requests
  • In summary

Reasonable adjustment request template

You can use this when asking for an adjustment for the first time.

Subject: Reasonable adjustment request

Dear [manager/HR name],

I’m writing to ask for a reasonable adjustment at work because of my disability or health condition.

At the moment, I am finding [briefly explain what is difficult or what barrier you are experiencing].

I would like to request [describe the adjustment you are asking for].

I believe this would help because [briefly explain how it would reduce the difficulty or help you do your job].

For example, this could help me to [work more safely/manage fatigue/reduce pain/travel to work more easily/concentrate better].

I’m happy to discuss this with you and look at other options if there is another adjustment that could meet the same need.

Please could you let me know the next steps and when we can discuss my request?

Kind regards,

[Your name]

Download this template as a PDF

Purpl Tip: Keep it simple. You do not need to prove your whole medical history in the first email.


Follow-up template if your employer has not replied

Use this if you have already asked for an adjustment and nothing seems to be happening.

Subject: Follow-up on my reasonable adjustment request

Dear [manager/HR name],

I’m following up on the reasonable adjustment request I made on [date].

I asked for [briefly state the adjustment].

Please could you let me know:

  • whether my request is still being considered
  • whether you need any more information from me
  • who is responsible for making the decision
  • when I can expect an update

The delay is currently affecting me by [briefly explain the impact, for example increased pain, fatigue, difficulty travelling to work or difficulty completing part of your role].

If the final adjustment will take some time to arrange, could we also discuss whether a temporary adjustment could be put in place while I wait?

I’d be happy to meet to discuss this.

Kind regards,

[Your name]

Download this template as a PDF

Purpl Insight: If the delay is affecting your health, safety or ability to stay in work, say that clearly. Your employer needs to understand the impact, not just that you are still waiting.


Template if your reasonable adjustment has been refused

Use this if your employer has said no to the adjustment you asked for.

Subject: Reasonable adjustment request – next steps

Dear [manager/HR name],

Thank you for responding to my reasonable adjustment request.

I understand that my request for [adjustment requested] has not been agreed.

Please could you explain why the adjustment is not considered reasonable and whether there are any alternative adjustments we could consider?

The difficulty I am trying to address is [briefly explain the barrier].

I would like to find another way to reduce this disadvantage so that I can continue to do my job as effectively and safely as possible.

Could we arrange a meeting to discuss other options?

Kind regards,

[Your name]

Download this template as a PDF

Purpl Tip: If one adjustment is refused, keep the focus on the barrier. There may be another way to remove or reduce the same problem.


What should I include in a reasonable adjustment request?

Your request does not need to be long.

Try to include four things:

1. What is difficult?

Explain what part of work is causing a problem.

For example:

  • travelling to work during rush hour makes your condition worse
  • standing for long periods causes pain
  • fatigue makes a fixed start time difficult
  • a noisy office makes it hard to concentrate
  • the current equipment is causing discomfort
  • you need information in a different format

2. What are you asking for?

Be as clear as you can.

For example:

  • a later start time
  • extra breaks
  • specialist equipment
  • home or hybrid working
  • a quieter workspace
  • changes to duties
  • information in an accessible format

3. How would it help?

Explain the difference the adjustment could make.

For example:

“This would help reduce my fatigue and make it easier for me to work safely throughout the day.”

4. What do you want to happen next?

Ask for a reply, a meeting or a timescale.

For example:

“Please could you let me know when we can discuss this?”

Purpl Tip: Think about the problem first, then the solution. That can make it easier to explain your request clearly.


Do I need to explain my diagnosis?

Not necessarily.

You may need to give your employer enough information to understand:

  • that you have a disability or health condition
  • how it affects you
  • what barrier you are experiencing at work
  • what support might help

But you do not need to write a detailed medical history unless it is genuinely relevant.

You can focus on the practical impact.

For example:

“My condition causes significant fatigue, particularly in the morning, which makes travelling during rush hour difficult.”

That may be more useful than simply naming a diagnosis.


What if I do not know what adjustment I need?

That is okay.

You do not need to have the perfect solution before speaking to your employer.

You could say:

“I’m struggling with [barrier] and would like to discuss what adjustments might help.”

You may also be able to explore options with:

  • your manager
  • HR
  • occupational health
  • your trade union
  • Access to Work, where additional support may be appropriate

The aim is to find a practical way to reduce the disadvantage you are experiencing.

Purpl Insight: You can ask for help identifying the right adjustment. You are not expected to solve the whole problem yourself.


What should I do after sending the request?

Keep a copy of what you send.

Also keep a note of:

  • the date you made the request
  • who you sent it to
  • any replies
  • meetings about the request
  • anything your employer says they need from you
  • how the delay is affecting you

If you do not hear back, follow up in writing.

If an adjustment is agreed, ask for the agreement to be confirmed in writing.

If your request is refused, ask for the reason and whether another adjustment could be considered.


Frequently asked questions about reasonable adjustment requests

Do I have to use the words “reasonable adjustment”?

No. You can still be asking for support even if you do not use the exact legal phrase.
However, using the words reasonable adjustment can help make it clear what you are asking for.

Do I have to make the request in writing?

No. You can ask verbally, but writing it down gives you a clear record of the request and the date you made it.

Can I ask for more than one adjustment?

Yes. You may need more than one change to remove different barriers.
For example, someone might need both flexible hours and specialist equipment.

Can I ask for home working?

Yes. Home working or hybrid working can sometimes be a reasonable adjustment if it helps remove a disability-related disadvantage.

Can I ask for a temporary adjustment?

Yes. This can be especially useful if a permanent adjustment will take time to arrange.

What if my manager says no straight away?

Ask why. Then ask whether another adjustment could address the same problem.
If needed, you can also speak to HR, your union or Acas.

Do I need PIP to ask for reasonable adjustments?

No. You do not need to receive PIP, DLA or another disability benefit to ask for support at work.

Is Access to Work the same as a reasonable adjustment?

No. Access to Work can help with additional disability-related support, but it does not replace things your employer may be legally responsible for providing.


In summary

A reasonable adjustment request does not need to be complicated.

Keep it focused on:

  • the barrier you are experiencing
  • what support may help
  • how the adjustment could make work easier or safer
  • what you want your employer to do next

If you do not get a response, follow up in writing.

If your request is refused, ask why and ask what other options could be considered.

Georgina’s final thoughts: “As a disabled person, I know how exhausting it can be to keep explaining what you need. These templates are designed to make that first step easier. You should not need to write a legal document just to ask for support at work.”


About the author

Georgina Colman is the Founder of Purpl and lives with multiple sclerosis and ADHD.

As an ambulatory wheelchair user, she has personal experience of the barriers disabled people can face at work and in everyday life.

She created Purpl to help disabled people and people with long-term health conditions save money, access practical information and feel better supported.


Save more with Purpl

Purpl helps disabled people, people with long-term health conditions, and parents and carers save money with exclusive discounts across everyday essentials, technology, travel, mobility and more.

Join Purpl and start saving: https://www.purpldiscounts.com


Other useful links

How to apply for Access to Work: Find out who can apply, what support you may be able to get and how to make an Access to Work application.
Access to Work cap freeze: what disabled workers need to know
Access to Work waiting times reach 37 weeks: what disabled workers need to know
Reasonable adjustments at work: Find out what the Government’s decision on the proposed two-week deadline means, how long employers should take to respond and what you can do if your request is delayed.
What is a Health Adjustment Passport & How to Apply for It: Use this free government document to record your disability, health condition and workplace adjustments, making it easier to explain the support you need to your employer.
Purpl PIP Tracker: Record how your condition affects you day to day and build real-life examples you can look back on for a PIP claim, review, mandatory reconsideration or appeal.
GOV.UK: Reasonable adjustments for disabled workers

Recommended for you

Dunelm logo
Dunelm

5% off online

Snappy Shopper logo
Snappy Shopper

Free delivery

Holiday Extras logo
Holiday Extras

Up to 30% off airport parking

Ocado logo
Ocado

35% off £90 shop & 3 mths free delivery

Access Card logo
Access Card

10% off - new customers