Pregnant Workers Fairness Act (PWFA): Reasonable Accommodation Request Form
Author: Brightmine Editorial Team
When to Use
The Pregnant Workers Fairness Act (PWFA) requires an employer with 15 or more employees to reasonably accommodate qualified employees and applicants with known limitations related to pregnancy, childbirth or related medical conditions, barring undue hardship.
An employer may use this form to obtain limited information from employees concerning their accommodation needs.
Customizable Form
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