I am writing to notify you of the problems I am experiencing with my (INSERT YEAR, MAKE,. Changes — The client or staff enters an explanation of the changes with the effective date and the duration of each change.Be courteous and informative in your communication. This handout includes sample documentation healthcare professionals can customize for patients who are seeking workplace accommodations. This page presents a model letter or email you might write the school to request that your child's placement be changed. General procedural information relevant to each filing entity that may use this form precedes the instructions for completing the form. •. Or, are you asking us to suggest the words? Better answers come from more precise questions.