Religious accommodation request
A printable from Religious clothing and prayer at work. Fill it in by hand. Nothing you write is collected by this website.
Religious accommodation request
Date: ____________
To: ____________________ (supervisor or HR)
I am writing to ask for a religious accommodation.
My religious practice: ____________________ (for example: covering my hair, keeping a beard, praying at certain times, not working on my Sabbath)
The work rule or schedule that conflicts: ____________________
What I am asking for: ____________________
Ideas that could keep my work covered: ____________________ (for example: making up time, swapping shifts)
Please let me know your answer in writing. I am happy to talk about other options that would also work for my practice.
Name: ____________________ Signature: ____________________
For my records
- Sent on ________ by ________ to ________
- Answer received on ________: Yes / No / Other option offered
- If no: reason given in writing? Yes / No
- Deadline to file with CRD (3 years): ________ EEOC (300 days): ________
From Religious clothing and prayer at work. Facts checked October 21, 2026. Free information, not legal or medical advice.