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Request for Religious Accommodation Form - Digital

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An attorney-reviewed digital form to help employers document any employee requests to accommodate a sincerely held religious belief or practice. 

Request for Religious Accommodation Form - Digital

Title VII of the Civil Rights Act of 1964 and state anti-discrimination laws prohibit employment discrimination based on religion.  This includes refusing to accommodate an employee's sincerely held religious beliefs or practices unless the accommodation would impose an undue hardship on the business.  The need for religious accommodation may arise where an individual's religious beliefs, observances, or practices conflict with a specific task or requirement of the position or an application process.  Accommodation requests often relate to work schedules, dress and grooming, or religious expression in the workplace.


Our attorney-reviewed Request for Religious Accommodation Form allows employers to document both an individual’s accommodation request and the company’s corresponding determination as whether it is approved or denied.  Employers can provide this form to any applicant or employee seeking a specific accommodation for their religious beliefs or practices.  It includes space to capture the details of the individual’s request, the purpose of the accommodation, the root issue or problem that the requested change would address, and the employer’s final decision.  


Features & Benefits Include:

  • A digital form to document requests from individuals in the workplace to accommodate their sincerely held religious beliefs or their religious practices; 
  • Attorney-reviewed to ensure compliance with Title VII of the Civil Rights Act and similar state-specific laws; 
  • Printable, fill-in-the-blanks digital format for physical or electronic recordkeeping;
  • A detailed instruction sheet explaining how & when to use the form and how long to retain it.

Our attorney-reviewed form is designed to help employers:

  • Demonstrate good faith compliance with the religious discrimination protections of Title VII of the Civil Rights Act and/or applicable state anti-discrimination laws.
  • Document the reason for the individual’s request, the details of the accommodation, and the final determination as to whether the request is accepted or denied.   


  • If you are not completely satisfied, you can cancel your order within seven (7) days of receipt for a full refund.
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