Reasonable adjustments review template
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A blank editable reasonable adjustments review template for requesting, agreeing or reviewing workplace support.
Adapted edition
- Document type
- Template
- Format
- DOCX
- Pages
- 2
- Language
- English
- Version
- 1.0
- Updated
- 2026-09-16
- Category
- Safety & operations
- Licence
- Open Government Licence v3.0
Description
Use to record workplace support and reasonable-adjustment discussions in the UK. Completed copies may contain sensitive personal information; restrict access and check current guidance before use.
Contents
- Template
- Current adjustments
- Changes requested
- Changes agreed
- Source and licence
Source and licence
Advisory, Conciliation and Arbitration Service (Acas)
AttributionAdapted from Acas, “Reasonable adjustments review template” (13 August 2024). Contains public sector information licensed under the Open Government Licence v3.0.
ChangesAdapted 16 September 2026: rebuilt the paired Word and OpenDocument source as a neutral blank DOCX and searchable PDF; retained the source wording, bracketed guidance, field order, lists and tables; normalized layout and whitespace; removed Acas visual identity, source styling, source links, images, custom XML, attached templates and personal or document-history metadata; and added concise UK-use, licence and no-endorsement notices.
Version history
- v1.016/09/2026