Medical Cannabis Workplace Accommodation Request Form
About this free form template

Medical Cannabis Workplace Accommodation Request Form

As more states legalize medical cannabis, navigating workplace policies and accommodations has become increasingly complex for both employers and employees. This Medical Cannabis Workplace Accommodation Request Form helps HR teams, healthcare providers, and employees manage accommodation requests in a compliant, respectful, and efficient manner.

Why Your Organization Needs This Form

Medical cannabis laws vary significantly by state, and many now include workplace protections for qualified patients. Whether you're in HR at a manufacturing facility, managing a healthcare organization, or overseeing operations at a logistics company, this form helps you:

  • Document legitimate medical cannabis use with proper certification and physician verification
  • Assess safety-sensitive position implications to balance accommodation with workplace safety
  • Clarify off-duty vs. on-duty use to establish clear boundaries and expectations
  • Review drug testing implications and establish modified testing protocols where appropriate
  • Ensure compliance with state medical cannabis laws while protecting your organization

This template is designed for businesses operating in states with medical cannabis programs, particularly those with safety-sensitive roles like construction, transportation, healthcare, and manufacturing.

What Makes This Template Effective

This form goes beyond a simple accommodation request by capturing the nuanced information HR and legal teams need to make informed decisions:

  • Comprehensive employee and medical information including physician contact details and medical cannabis program registration
  • Clear documentation of prescribed use patterns (dosage, timing, and consumption method) to assess workplace impact
  • Safety-sensitive position assessment with detailed questions about job duties, equipment operation, and potential impairment risks
  • Off-duty use declarations to distinguish between workplace and personal time consumption
  • Drug testing acknowledgment sections that address modified testing protocols and reasonable suspicion policies
  • State law compliance verification to ensure the request aligns with local medical cannabis protections

The form uses conditional logic to show relevant follow-up questions based on position type and accommodation needs, making it thorough without overwhelming users.

How Paperform Makes Accommodation Requests Seamless

Sensitive HR matters like medical cannabis accommodations require careful handling, and Paperform delivers the right balance of professionalism, security, and efficiency:

Secure, compliant data collection: With SOC 2 Type II compliance and GDPR protections, you can safely collect sensitive medical information and employment details. Use conditional logic to ensure only relevant questions appear, and route submissions directly to HR, legal counsel, or occupational health teams.

Branded, professional experience: Customize the form to match your company's internal portal or employee handbook aesthetic. Add your logo, use your corporate colors, and embed the form on your intranet or HR platform for a seamless employee experience.

Streamlined review and approval workflows: Connect this form to Stepper (stepper.io) to automatically trigger multi-step review processes. When an accommodation request comes in, Stepper can notify the employee's manager, route the medical documentation to occupational health, alert legal for state law compliance review, and update your HRIS—all without manual handoffs.

Centralized documentation: Send submissions to Google Sheets, Airtable, or your HR management system to maintain organized records of accommodation requests, decisions, and ongoing compliance reviews. This creates an audit trail that protects both employees and the organization.

eSignature integration with Papersign: Once an accommodation decision is made, use Papersign (papersign.com) to convert the approval into a formal agreement that both the employee and employer can sign digitally. This ensures clear terms around off-duty use, testing protocols, and performance expectations.

Who Benefits from This Template

This template is ideal for:

  • Human Resources teams managing accommodation requests in states with medical cannabis protections
  • Occupational health and safety officers assessing fitness-for-duty and safety-sensitive role implications
  • Legal and compliance teams ensuring adherence to state cannabis laws and federal workplace safety regulations
  • Manufacturing, construction, and transportation companies with safety-sensitive positions that require careful accommodation review
  • Healthcare facilities balancing patient care standards with employee accommodation rights
  • Small and medium businesses without dedicated legal teams who need structured documentation for complex HR matters

Get Started Today

Whether you're fielding your first medical cannabis accommodation request or looking to standardize your existing process, this Paperform template gives you the professional structure and documentation you need. Customize the questions to reflect your state's laws, your industry's safety requirements, and your organization's policies—all without writing a single line of code.

With Paperform's intuitive editor, conditional logic, and secure infrastructure, you'll handle these sensitive requests with confidence, consistency, and care. Plus, with thousands of integrations available through Stepper, Zapier, and Make, you can connect this form to your broader HR and compliance workflows in minutes.

Start managing medical cannabis accommodation requests with clarity and compliance—try this template in Paperform today.

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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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