Medical Letter to Work from Home Outline

Header:

• Your Contact Information

  • [Your Name], [Your Company Address], [City, State, ZIP Code]

  • [Your Company Number], [Your Email]

  • [Date]

• Recipient Information

  • [Supervisor's Name]

  • [Your Company Name]

  • [Your Company Address]

  • [City, State, ZIP Code]

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Subject Line:

• Medical Accommodation Request: Work-from-Home Arrangement

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Salutation:

• Address the recipient appropriately (e.g., Dear [Supervisor's Name] or To Whom It May Concern).

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Introduction:

• State the purpose of the letter.

• Explain that the request is based on medical needs as advised by a healthcare provider.

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Medical Context:

• Briefly describe the necessity for accommodation without including excessive detail.

• Indicate that the request is supported by medical advice.

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Support from Medical Professional:

• Note the inclusion of supporting documentation from your healthcare provider.

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Request for Accommodation:

• Clearly specify the accommodation being requested.

• Include the anticipated duration, if applicable.

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Reasonable Accommodation Clause:

• Reference any relevant company policies or applicable laws, such as those governing reasonable accommodations.

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Willingness to Collaborate:

• Express readiness to discuss how to implement the requested accommodation effectively.

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Closing:

• Thank the recipient for considering the request.

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Sign-Off:

• Use an appropriate closing phrase, followed by your name.

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Attachments:

• List any enclosed documentation, such as a letter from your healthcare provider.

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