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Run: Reasonable Accommodation Status Update

A reasonable accommodation status update form for checking whether an existing accommodation is still working, what has changed, and whether any adjustments ...

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Review Details

Employee name (required)

Employee ID

Optional if your organization uses an internal case or employee identifier.

Review date (required)

Reviewer role (required)

Current Accommodation

Accommodation type (required)

Accommodation description (required)

Briefly describe the current accommodation in place. Avoid medical details; focus on the work-related adjustment.

Is the accommodation still in place? (required)

Accommodation start date

Effectiveness Check

How effective is the accommodation currently? (required)

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? (required)

What changed?

Describe the changes

Requested Adjustments

Are any adjustments needed? (required)

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. (required)

Yes No N/A

I understand I should not include unnecessary medical details or other sensitive PII in this form. (required)

Yes No N/A

What happens after I submit

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Email (required)

Your name (optional)

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