Pregnancy Accommodation Remote Work Request

Navigating pregnancy while maintaining your professional responsibilities requires understanding and flexibility from employers. This Pregnancy Accommodation Remote Work Request Form helps expectant mothers formally request remote work arrangements due to pregnancy-related needs, medical appointments, or complications requiring modified work conditions.

Designed for HR departments, people operations teams, and managers in organizations that support employee wellbeing, this template streamlines the accommodation request process while ensuring all necessary medical, scheduling, and transition information is captured sensitively and professionally.

The form guides expectant mothers through documenting their current situation, preferred remote work schedule, upcoming medical appointments, any pregnancy complications requiring accommodation, and plans for transitioning to parental leave. Conditional logic adapts the form based on specific circumstances, ensuring only relevant questions appear.

Paperform makes this sensitive HR process more compassionate and efficient. The professional, on-brand design ensures the form feels supportive rather than bureaucratic, while built-in calculations and conditional routing ensure requests are directed to the appropriate decision-makers. Integration with HR systems like BambooHR, Workday, or Gusto keeps employee records synchronized automatically.

For organizations looking to further automate the accommodation approval workflow, Stepper can route requests through the appropriate approval chain, notify relevant stakeholders, update HRIS systems, schedule follow-up check-ins, and trigger equipment delivery or IT setup—ensuring expectant mothers receive timely responses and necessary support without manual coordination from HR teams.

This template supports inclusive workplace cultures by making pregnancy accommodations straightforward, dignified, and compliant with employment regulations across various jurisdictions.