Neurodivergent Remote Work Accommodation Request Form

Creating an inclusive workplace means recognizing that every employee has unique needs—especially when it comes to sensory sensitivities, focus requirements, and communication styles. This Neurodivergent Remote Work Accommodation Request template helps HR teams and managers gather the specific information needed to support neurodivergent employees with thoughtful, personalized remote work arrangements.

Why this form matters

Neurodivergent employees—including those with autism, ADHD, dyslexia, and other cognitive differences—often thrive in environments tailored to their sensory and focus needs. Traditional office settings can present challenges like overwhelming noise, fluorescent lighting, open-plan distractions, or rigid schedules that don't align with natural energy cycles. Remote work offers flexibility, but only when accommodations are clearly communicated and properly implemented.

This form guides employees through articulating their needs around sensory sensitivities, preferred work environments, flexible break schedules, and communication preferences—empowering HR and management to create supportive, productive remote work arrangements that respect neurodiversity.

Who this form is for

This template is designed for HR managers, People Operations teams, Employee Relations specialists, and DEI leaders in small to medium-sized businesses committed to building neurodiverse-friendly workplaces. It's also valuable for managers, team leads, and Disability & Accommodation coordinators who want to implement inclusive remote work policies with clarity and compassion.

Industries that will find this especially useful include tech companies, creative agencies, healthcare organizations, education institutions, financial services, and any workplace prioritizing mental health, accessibility, and employee wellbeing.

How Paperform makes accommodation requests easier

With Paperform, you can customize this template to match your organization's accommodation process and branding. Use conditional logic to show relevant follow-up questions based on specific needs, and integrate submissions directly with your HRIS, case management tools, or communication platforms via Stepper workflows.

Stepper can help you automate the accommodation approval process—routing requests to the right stakeholders, sending confirmation emails, updating employee records, and creating task lists for implementing accommodations—all while maintaining confidentiality and compliance with accessibility regulations.

Because remote work accommodations involve sensitive personal information, Paperform's SOC 2 Type II compliance and secure data handling give both employees and HR teams peace of mind. You can collect, store, and manage accommodation requests with confidence, knowing your data practices meet enterprise-grade security standards.

Building a truly inclusive remote work culture

Providing neurodivergent accommodations isn't just about compliance—it's about unlocking potential. When employees can work in environments that support their sensory needs, focus styles, and communication preferences, they bring their full creativity, productivity, and innovation to your team.

This form template is a starting point for building that culture of inclusion, one thoughtful accommodation at a time.