Hybrid Schedule Accessibility Accommodation Request Form
About this free form template

Streamline Accessibility Accommodations for Hybrid Work with Paperform

Creating an inclusive hybrid workplace means ensuring every employee has the support they need to thrive—whether working from home or in the office. This Hybrid Schedule Accessibility Accommodation Request Form template helps HR teams, operations managers, and workplace coordinators efficiently collect and process accommodation requests for employees with disabilities, chronic conditions, or ergonomic needs.

Why This Template Works for Modern Hybrid Teams

As more organizations embrace flexible work models, accessibility planning becomes more complex. Employees may need different accommodations in different locations, from ergonomic equipment and assistive technology to modified schedules and workspace adjustments. This template captures all the essential information—disability considerations, specific accommodation requests, location preferences, and equipment needs—in one streamlined, respectful process.

Built with conditional logic, the form adapts based on each employee's unique situation, asking relevant follow-up questions only when needed. This creates a more thoughtful experience while ensuring you gather complete information for evaluation and implementation.

Perfect for HR Teams, Workplace Services & DEI Leaders

Whether you're in corporate HR, healthcare administration, education, government services, or nonprofit management, this template helps you meet ADA compliance requirements while demonstrating genuine commitment to employee wellbeing. The form works seamlessly for both new accommodation requests and modifications to existing arrangements.

Once submitted, you can use Stepper to automatically route requests to the right stakeholders—HR for review, facilities for equipment procurement, IT for assistive technology setup, and managers for schedule approval—keeping everyone informed and accelerating the accommodation process. You can also integrate with your HRIS, case management system, or project tracking tools to maintain organized records and ensure timely follow-through.

With Paperform's secure, SOC 2 Type II compliant platform, you can confidently handle sensitive employee information while building a more accessible, equitable workplace for all team members.

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deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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