We Complete Workplace Accommodation Forms & Letters
• completed & signed by state-licensed provider
• work-from-home, light-duty, pregnancy, and other workplace accommodations
• 24-hour turnaround
• flat fee of $49
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Support If Your Employer Requests Changes
If your employer asks for edits, more information, or a different format, we make reasonable updates at no extra charge for 14 days after delivery.

Common workplace accommodations we may help document
We may be able to help with a workplace accommodation form for work or a workplace accommodation letter for:
We help with accommodation forms for work and workplace accommodation letters for many common job-related medical needs.
4 Simple Steps
Tell us about your health issue, your job, and the work change you are requesting.
You can upload your employer’s paperwork, or we can prepare a letter if no form is required.
A state-licensed provider reviews your request and completes the form or letter if it fits your medical needs.
We email your completed paperwork to you within 24 hours. If needed, we can also send it to your HR department.
One Flat Price, $49
• Completed form or signed letter
• 24-hour turnaround
• Employer revisions included

Frequently Asked Questions
If your question is not answered here, please email us at support@certicare.org
A workplace accommodation is a change at work that helps you do your job safely and effectively with a medical condition, pregnancy, or a physical restriction.
We may be able to help with:
• work-from-home requests
• light-duty or lifting restrictions
• extra breaks
• reduced standing or walking
• pregnancy-related work changes
• other employer accommodation forms or letters
Yes. You can upload your form during intake or email it to support@certicare.org, and our provider will review and complete it if appropriate.
We can usually provide a signed letter that explains the recommended work accommodation.
No. Most requests are handled through our secure online intake and email.
Most completed forms or letters are delivered within 24 hours.
Yes. If you want, we can email the completed PDF directly to your employer or HR contact and copy you.
We provide updates to the form or letter for 14 days after delivery at no extra cost.
No. Requests are reviewed by a licensed provider. If the requested accommodation is not medically appropriate, we may decline the request. In this case, you will receive a full refund.
Your paperwork may include the provider’s name, credentials, license information, signature, date of evaluation, and the recommended accommodation. We only include the information needed for your request.

