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Work Accommodations Request

To get reasonable work accommodations in the U.S., all you need to do is submit a letter of request to your employer. It is helpful to include a letter from your physician indicating your diagnosis and/or need for accommodations as well as other information on your diagnosis.

For your convenience, we have prepared and included all of the necessary documents and steps below.

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Combine all of these documents and present them to your employer.

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Please note that work accommodations are not guaranteed and this information is not for legal purposes, nor should it be used as legal advice. 

LETTER OF REQUEST

Review and make a copy of this letter, replacing all RED WORDS as indicated. Submit this letter along with the other forms on this page.

LETTER FROM PHYSICIAN

Attach a letter from your physician stating your diagnosis and/or need for accommodations. Often, therapists can write these letters as well.

EXEC. ORDER 13164

While not necessary, attaching this form informs your employer of their legal obligations to an accommodations request.

information on pmdd

Attach this document to properly educate your employer on PMDD.

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