» ESA Submission: Idiopathic Hypersomnia Narcolepsy.

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EXAMPLE 1: I have not made any previous flexible working requests. EXAMPLE 2: I have previously made a flexible working request on 1st January.

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Example: My current working pattern and role is 5 days a week as an office admin assistant.

Give details of the change you would like to make to your working pattern.

EXAMPLE: I would like to reduce my work hours from 35 to 30 per week.

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Give details of how your health impacts work. Or how your work impacts your health. You do not need to disclose your mental health problem if you do not want to.

Example: I've been diagnosed with anxiety and I'm receiving treatment for my mental health condition. I'm finding it difficult to concentrate at the moment and I'm concerned that without changes to my work I might have an accident.

What is your working pattern and role?

Example: My current working pattern and role is 5 days a week as an office admin assistant.

Provide details of the reasonable adjustments you would find helpful and why.

EXAMPLE: a later start time so that I can miss the rush hour because I'm finding it difficult to be around lots of people

How would this adjustment benefit your employer?

EXAMPLE: This would meant that I can arrive calm and clear headed ready for work.

Please suggest how you and your employer could deal with any effects of the changes.

EXAMPLE: I would like to suggest working later into the evening to make up for the time lost .

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Covering Letter For GP in Seeking Home Assessment ESA or PIP.

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Migraine Reasonable Adjustments Request Template

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Please describe the symptoms of you condition.

What adjustments would you like to be considered?

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Repaying Debt To Your Energy Supplier

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Healthcare Professional Information Request

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ESA Submission: Idiopathic Hypersomnia Narcolepsy.

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