---
title: Temporary Remote Work Request Form for Medical Reasons Template | Paperform
description: Professional form template for employees requesting temporary remote work accommodations due to medical reasons. Includes medical documentation upload, duration tracking, and approval workflow.
url: "https://paperform.co/templates/temporary-remote-work-request-form-medical-reasons"
type: static
generatedAt: "2026-03-28T00:45:22.737Z"
---

[← Back to free form templates](/templates/)    ![Temporary Remote Work Request Form (Medical Reasons)](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/temporary-remote-work-request-form-medical-reasons.png)
    [Preview](https://_preview.paperform.co/ai-template/temporary-remote-work-request-form-medical-reasons) [Use this template for free](/create?ai-template=temporary-remote-work-request-form-medical-reasons)    [Remote Work & Hybrid Forms](/templates/category/remote-work/)[Human Resources Forms](/templates/category/hr/) [Business](/templates/industry/business/)[Human Resources](/templates/industry/human-resources/) [HR Manager](/templates/role/hr-manager/)[Manager](/templates/role/manager/)[HR Specialist](/templates/role/hr-specialist/)[Operations Manager](/templates/role/operations-manager/)     About this free form template
### Streamline Medical Remote Work Requests with Paperform

Managing temporary remote work requests for medical reasons requires sensitivity, clear documentation, and efficient approval workflows. This **Temporary Remote Work Request Form** template helps HR teams and people operations professionals handle accommodation requests with professionalism and care.

#### Built for Modern HR Teams

Whether you're managing a hybrid workforce or responding to employee medical needs, this form template makes it simple to collect all necessary information in one place. Employees can submit their request, upload required medical documentation, specify their accommodation needs, and outline their proposed work arrangement—all through a single, secure form.

The form captures essential details including the reason for the request, proposed start and end dates, daily work schedule preferences, equipment needs, and any additional accommodations required. With built-in file upload capabilities, employees can securely attach doctor's notes or medical documentation without requiring email follow-ups.

#### Connect Your HR Workflow with Stepper

Once a remote work request is submitted, you can use **Stepper** (stepper.io) to automate your approval workflow. Route submissions to the appropriate manager or HR representative, send notifications to relevant stakeholders, update your HRIS or tracking spreadsheet, and trigger follow-up tasks based on approval status. This ensures nothing falls through the cracks and every request receives timely attention.

For requests requiring formal agreements, integrate **Papersign** (papersign.com) to generate and send remote work agreements or accommodation letters for eSignature. This creates a complete audit trail from initial request through final documentation, all linked to the original submission.

#### Professional, Compliant, and Secure

Built on Paperform's SOC 2 Type II compliant platform, this template helps you maintain proper documentation for ADA compliance, FMLA tracking, and workplace accommodation records. The form integrates seamlessly with tools like BambooHR, Google Sheets, Slack, and other HR systems, ensuring your remote work request data flows exactly where it needs to go.

Whether you're an HR Manager, People Operations professional, or office administrator, this template provides a dignified, efficient way to handle sensitive medical accommodation requests while maintaining the documentation your organization needs.
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