HR form for employees to formally request an adjustment to the workplace or facilities.

This form can be used to request alterations such as installation of a ramp, adapted keyboards or other equipment to ensure the workplace is fully accessible and functional for all users.

The form is split into 4 sections;

• Details of the person submitting the form
• Overview of the issues / situation needing adjustment
• Adjustment requested
• Section for review of the request (marked office purposes only)