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Workplace Accommodation Request (Canada)

Workplace Accommodation Request (Canada)

Request for Accommodation under Human Rights Legislation

WORKPLACE ACCOMMODATION REQUEST

Date: [Request Date] TO: [Hr Contact Name], [Hr Contact Title] [Employer Name] FROM: [Employee Name], [Employee Position], [Employee Department] RE: Request for Workplace Accommodation under the [Applicable Legislation]

1. Introduction

I am writing to formally request a workplace accommodation pursuant to the [Applicable Legislation] and your organization's duty to accommodate employees to the point of undue hardship. I am currently employed as [Employee Position] in the [Employee Department] department, reporting to [Supervisor Name].

2. Protected Ground and Workplace Barrier

I am requesting accommodation on the ground of: [Protected Ground]. [Barrier Description]

3. Accommodation Requested

I request the following accommodation: [Accommodation Requested] Expected duration: [Accommodation Duration]. [Temporary Duration] I believe I can continue to perform the essential duties of my position with the above accommodation in place.

4. Supporting Documentation

[Supporting Documentation]

5. Impact Without Accommodation

[Impact Without Accommodation]

6. Cooperation

I am committed to cooperating in the accommodation process and am open to discussing alternative accommodation options that meet my needs. I request that this matter be addressed in a timely manner. Please contact me to discuss this request at your earliest convenience. I can be reached at [Employee Email]. Thank you for your attention to this matter.

Employee

________________

Signature

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What Is a Workplace Accommodation Request (Canada)?

A Workplace Accommodation Request in Canada records a request for accommodation of a protected need and the measures the employer agrees to provide, governed primarily by provincial human-rights legislation.

At the federal level, the Canadian Human Rights Act (R.S.C., 1985, c. H-6) prohibits discrimination in employment on the basis of race, national or ethnic origin, colour, religion, age, sex, sexual orientation, gender identity or expression, marital status, family status, genetic characteristics, disability, and conviction for an offence for which a pardon has been granted. Federally regulated employers — banks, telecommunications companies, interprovincial transportation companies, and federal Crown corporations — must accommodate employees on all these grounds to the point of undue hardship under section 15 of the Canadian Human Rights Act.

At the provincial level, each province and territory has its own human rights code. Ontario's Human Rights Code (R.S.O. 1990, c. H.19) prohibits discrimination in employment on 17 grounds, including disability, creed (religion), sex (including pregnancy and breastfeeding), gender identity and gender expression, family status, age, race, and sexual orientation. The Ontario Human Rights Commission's Policy on preventing discrimination based on mental health disabilities and addictions (2014) and its Policy on Accessible Education for Students with Disabilities provide detailed guidance on accommodation obligations. British Columbia's Human Rights Code (R.S.B.C. 1996, c. 210) and Alberta's Alberta Human Rights Act (R.S.A. 2000, c. A-25.5) impose equivalent obligations with provincial variations.

The legal standard for the duty to accommodate was definitively established by the Supreme Court of Canada in Meiorin (British Columbia (Public Service Employee Relations Commission) v. BCGSEU, [1999] 3 SCR 3), which created a unified test for determining whether a discriminatory standard is a bona fide occupational requirement (BFOR). An employer seeking to deny accommodation must demonstrate that the standard was adopted for a purpose rationally connected to the performance of the job; that the standard was adopted in an honest and good faith belief that it was necessary for the fulfillment of that legitimate purpose; and that the standard is reasonably necessary to accomplish that purpose, in the sense that it is impossible to accommodate employees without imposing undue hardship on the employer.

Undue hardship — the threshold at which the employer's accommodation obligation ends — is assessed based on cost, outside sources of funding, and health and safety requirements, under section 17(2) of the Ontario Human Rights Code. Factors such as business inconvenience, employee morale, or customer preference do not constitute undue hardship.

When Do You Need a Workplace Accommodation Request (Canada)?

A Workplace Accommodation Request in Canada is needed whenever an employee's protected characteristic under the applicable human rights code creates a barrier to full participation in the workplace, and the employee seeks a modification to remove that barrier.

Disability accommodation — the most common category of accommodation requests in Canada — covers physical disabilities (mobility impairments, chronic pain conditions, sensory impairments), mental health conditions (depression, anxiety disorders, PTSD, bipolar disorder), substance use disorders recognized as disabilities, and learning disabilities. The Ontario Human Rights Commission and the Canadian Human Rights Commission have both published guidance confirming that mental health conditions constitute disabilities for accommodation purposes, and that employers must engage in the accommodation process in good faith regardless of whether the disability is visible or invisible.

Religious accommodation requests arise when an employee's creed requires time off for religious observances, modified scheduling to avoid work on holy days, modified dress codes to permit religious garments (hijab, kirpan, turban), or dietary accommodation in workplace cafeterias. The Supreme Court of Canada in Syndicat Northcrest v. Amselem, 2004 SCC 47, established that the duty to accommodate applies to sincerely held religious beliefs, not only institutionally recognized religious practices.

Family status accommodation requests — increasingly litigated in Canadian human rights tribunals — arise when an employee has childcare or eldercare obligations that conflict with workplace scheduling requirements. The Federal Court of Appeal in Johnstone v. Canada Border Services Agency, 2014 FCA 110, established that family status accommodation applies where a parent has assumed childcare obligations that cannot reasonably be performed in any other way than through the workplace modification requested. Employers in Ontario, British Columbia, and federally regulated industries must engage with family status accommodation requests seriously.

Pregnancy and breastfeeding accommodation covers modifications to working conditions, scheduling, and physical demands for pregnant employees and employees who are breastfeeding. The Canadian Human Rights Commission's Guidelines on Pregnancy and Human Rights in the Workplace confirm that pregnancy-related accommodation is a gender and disability accommodation issue.

Age-related accommodation requests are becoming more common as the workforce ages. Older workers approaching retirement may require modified physical duties, adjusted hours, or phased-in retirement arrangements. Mandatory retirement has been prohibited in most Canadian jurisdictions since 2009, and any performance management of older workers must be conducted carefully to avoid age discrimination claims before the applicable Human Rights Tribunal.

What to Include in Your Workplace Accommodation Request (Canada)

A well-structured Canadian Workplace Accommodation Request form addresses each component needed for the employer to properly assess and respond to the request under their duty to accommodate obligations.

The employee identification section records the requesting employee's name, employee number, position title, department, work location, and direct supervisor's name. This information enables the employer to route the request to the appropriate human resources representative and to assess the accommodation needs in the context of the employee's specific role and work environment.

The protected ground identification section identifies the human rights ground on which the accommodation is requested — disability, religion/creed, family status, pregnancy, sex, or another enumerated ground under the applicable human rights code. The employee does not need to disclose a specific diagnosis for a disability accommodation request — only the functional limitations resulting from the condition and the workplace modifications needed. This principle was affirmed by the Ontario Human Rights Tribunal in several decisions, including Qureshi v. G4S Security Services, 2009 HRTO 409.

The functional limitations description explains how the employee's protected characteristic creates a barrier to performing specific job duties or complying with specific workplace policies, without requiring disclosure of confidential medical information. For disability accommodation, this section should describe what tasks or conditions are affected — for example, inability to stand for extended periods, difficulty with continuous computer use, or need for flexible scheduling for medical appointments — rather than the diagnosis itself.

The specific accommodation requested section describes the modification the employee is seeking in concrete, practical terms: a modified schedule, ergonomic equipment, remote work arrangements, a leave of absence, a reassignment of specific duties, a private space for prayer, or a modified uniform. The more specific the request, the easier it is for the employer to assess feasibility and consider alternatives.

The supporting documentation section identifies what documentation the employee is providing or is prepared to provide in support of the request. For disability accommodation, a functional abilities form completed by the employee's physician or regulated health professional — confirming the employee's limitations and recommended accommodations without disclosing the diagnosis — is the standard documentation format. The employer cannot require disclosure of the diagnosis itself under the Ontario Human Rights Commission's guidelines on medical information and accommodation.

The employee's acknowledgment clause confirms the employee's understanding of their obligation to participate in the accommodation process in good faith — including cooperating with the employer's reasonable requests for information, considering reasonable alternative accommodations proposed by the employer, and informing the employer when the accommodation is no longer needed or when the employee's circumstances change. The duty to accommodate is a shared responsibility between employer, employee, and union (where applicable) under the Supreme Court of Canada's decision in Central Okanagan School District No. 23 v. Renaud, [1992] 3 SCR 970.

Under the Canada Labour Code (R.S.C. 1985, c. L-2), the Canada Industrial Relations Board adjudicates federal workplace disputes. Provincial employment standards legislation — including Ontario's Employment Standards Act 2000 and British Columbia's Employment Standards Act (RSBC 1996) — governs minimum employment terms. The Personal Information Protection and Electronic Documents Act (PIPEDA) governs private-sector data handling. The Canada Revenue Agency (CRA) administers source deductions and Canada Pension Plan (CPP) contributions. The forms-legal.com Workplace Accommodation Request (Canada) template covers the mandatory elements under Canada Labour Code (R.S.C. 1985, c. L-2).

Sources & Citations

Statutory citations link to official government sources.

  1. R.S.C., 1985, c. H-6CA official
  2. R.S.C. 1985, c. L-2CA official

Cite this page

Reference this free template in an article, syllabus, or research note:

APA

Forms Legal. (2026). Workplace Accommodation Request (Canada) (Canada) [Legal document template]. Forms Legal. https://forms-legal.com/canada/employment/hr-forms/workplace-accommodation-request-canada

MLA

"Workplace Accommodation Request (Canada) (Canada)." Forms Legal, 2026, https://forms-legal.com/canada/employment/hr-forms/workplace-accommodation-request-canada.

BibTeX
@misc{formslegal-workplace-accommodation-request-canada,
  author       = {{Forms Legal}},
  title        = {Workplace Accommodation Request (Canada) (Canada)},
  year         = {2026},
  howpublished = {\url{https://forms-legal.com/canada/employment/hr-forms/workplace-accommodation-request-canada}},
  note         = {Free legal document template. Based on Canada Labour Code (R.S.C. 1985, c. L-2)}
}

Frequently Asked Questions

Based on Canada Labour Code (R.S.C. 1985, c. L-2) — Template last modified June 2026Verify the source →

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