Accommodation request sheet

For work, college or university: name the barrier, the adjustment, and why it helps.

For: Autistic adults, teens, students · Free to print, copy and share · No sign-up

How do I ask for autism accommodations at work?

Describe the barrier, name the specific adjustment, and say what it lets you do — in that order, in writing. Asking for 'flexibility' rarely lands. Asking for written instructions after verbal briefings, or a fixed desk away from the walkway, usually does.

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The PDF is built in your browser on the next screen — nothing is saved or emailed.

How to use it

  1. Write the barrier as a task problem, not a personal trait.
  2. Name one specific, concrete adjustment for each barrier.
  3. Say what the adjustment lets you deliver. Keep it factual.
  4. Note anything that costs nothing — most of the good ones do.
  5. Send it in writing before the meeting, so it is on record.
  6. Ask for the outcome in writing too, including anything declined and why.

Things worth knowing

Where a paper sheet stops

A printed sheet is fixed. It can't change when the routine changes, it doesn't know the person using it, and it can't put anything in writing for a school or clinic.

Want this made for your situation?

Nova can turn these notes into a clear written request for your employer, college or university.

Nova is a support companion for autistic people, families and the professionals who help them. Every printed sheet carries a scannable code and this short link: portal.novaautism.com/s/accommodation-request-sheet

Draft it with Nova Get the PDF

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A blank, first-person story frame for a new place, a change, or something that keeps going wrong.

This sheet is a practical support, not medical, legal, or diagnostic advice.