---
title: Mental Health Accommodation Remote Work Request Form Template | Paperform
description: Request remote work accommodations for mental health needs with therapist recommendations, flexible scheduling, and wellness check-ins. Customizable HR accommodation form template.
url: "https://paperform.co/templates/mental-health-accommodation-remote-work-request"
type: static
generatedAt: "2026-03-28T00:44:30.803Z"
---

[← Back to free form templates](/templates/)    ![Mental Health Accommodation Remote Work Request](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/mental-health-accommodation-remote-work-request.png)
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### Mental Health Accommodation Remote Work Request Form

Managing mental health in the workplace is essential for employee wellbeing and productivity. This **Mental Health Accommodation Remote Work Request** form helps employees formally request remote work arrangements as a mental health accommodation, while providing HR and management teams with the necessary documentation and context to approve and implement supportive work arrangements.

#### Streamlined accommodation requests for modern workplaces

For HR teams, managers, and employees navigating mental health accommodations, this form provides a structured yet compassionate way to document remote work requests. The template includes sections for therapist recommendations, stress management plans, flexible schedule needs, and ongoing wellness check-ins—ensuring both compliance with accommodation policies and genuine support for employee mental health.

Whether you're an HR manager implementing accommodation processes, an employee seeking support, or a mental health professional coordinating workplace accommodations, this form simplifies the request process while maintaining appropriate confidentiality and professionalism.

#### How Paperform makes accommodation requests seamless

Built with Paperform's intuitive doc-style editor, this template can be customized to match your organization's accommodation policies, branding, and workflows. Conditional logic ensures employees only see relevant questions based on their specific needs, while calculation fields can help determine appropriate accommodation durations and review schedules.

Connect this form to your HR systems through native integrations or use **Stepper** to automate approval workflows—routing requests to the right stakeholders, scheduling wellness check-ins, and keeping all accommodation documentation organized. Use **Papersign** to collect secure eSignatures on accommodation agreements, ensuring clear documentation of approved arrangements for compliance and record-keeping.

With built-in submission tracking, automated email confirmations, and the ability to generate accommodation summaries, this form helps organizations support employee mental health while maintaining professional HR processes. Start with this template and customize it to create an accommodation request process that balances organizational needs with genuine employee care.
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