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Religious Accommodation Request

Title VII religious accommodation request — Groff standard, sincerely held belief.

14 days free, $0 today — Forms comes with every suite.

Rolled out to every employee at AutoZone (125,000), PetSmart (50,000+), A.S. Watson and Raley's (20,000) — and at larger retailers we are not permitted to name.

What's inside this template

Employee

  • Employee name (required)
  • Job title (required)

Request

  • Describe the religious practice / observance requiring accommodation (required)

    Title VII protects sincerely held beliefs; you do not need to disclose religion identity

  • What accommodation are you requesting? (required)
  • How long do you need this accommodation?

    One-time / Ongoing / Recurring (e.g., weekly Sabbath)

Sign-Off

  • Employee signature (required)
  • Date submitted (required)

Common use cases

Religious holiday observance
Religious dress / grooming
Religious diet

Go deeper on the topic

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Ready to use this template?

Religious Accommodation Request runs on a platform app included with every MangoApps plan — pick a suite and it comes along.

Rolled out to every employee at AutoZone (125,000), PetSmart (50,000+), A.S. Watson and Raley's (20,000) — and at larger retailers we are not permitted to name.