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Template
Workplace adjustment agreement
A short, confidential record of what helps the employee work well. It belongs to the employee. There is no need to record a diagnosis, only what has been agreed.
Tip: print this page or copy the text into your own document.
- Employee name
- Role
- Manager
- Date agreed
- What helps me do my best work
- Adjustments we have agreed
- Who is responsible, and by when
- What to do on a difficult day, or if things change
- Date of next review
- Employee signature
- Manager signature
Turn this into your own plan
Choose your type of business and who you are hiring, and get one checklist that tracks your progress, plus a tracker for each new hire's first six months.
This toolkit is general guidance, not legal advice. Rules on recruitment, adjustments and support schemes differ between countries, so check with your local employment service or an adviser.