Reasonable Accommodation Status Update

Periodic check-in on an existing reasonable accommodation. Verifies the accommodation is still effective and identifies needed adjustments.

Review Details

• Employee name
• Employee ID
  Optional if your organization uses an internal case or employee identifier.
• Review date
• Reviewer role

Current Accommodation

• Accommodation type
• Accommodation description
  Briefly describe the current accommodation in place. Avoid medical details; focus on the work-related adjustment.
• Is the accommodation still in place?
• Accommodation start date

Effectiveness Check

• How effective is the accommodation currently?
• What issues or barriers are you experiencing?
• Describe the issue or barrier

Changes Since Last Review

• Have there been any changes since the last review?
• What changed?
• Describe the changes

Requested Adjustments

• Are any adjustments needed?
• Describe the adjustment needed
• Preferred follow-up

Consent and Review

• I consent to HR or the designated accommodation coordinator reviewing this status update and contacting me if follow-up is needed.
• I understand I should not include unnecessary medical details or other sensitive PII in this form.
• What happens after I submit