Agreed Reasonable Adjustments Form

How to apply for reasonable adjustments at work

The form below is designed to be used with our Employee's Guide to Bipolar and our Employer's Guide to Bipolar

If you live with bipolar the provisions of the Equality Act (2010) apply and you are entitled to ask for reasonable adjustments at work to support you and help you stay well. Everybody's adjustments will vary but this form and our guides offer a template to help your write out what you would like.

Download this form as a PDF