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Request for Reasonable Modification
The Fair Housing Act defines a person with a disability as (1) individuals with a
physical or mental impairment that substantially limits one or more major life
functions;
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How to fill out request for reasonable modification

How to fill out a request for reasonable modification:
01
Start by clearly stating your intention to request a reasonable modification. This could be for various reasons such as a disability, medical condition, or any other factor that requires certain accommodations.
02
Provide your personal details such as your name, contact information, and any identification numbers associated with the organization or institution you are making the request to.
03
Clearly explain the reason for your request, detailing the specific accommodation or modification you are seeking. Be specific and provide any supporting documentation or evidence, if applicable.
04
Outline the expected impact that the requested modification will have on your ability to fully participate or access the services, programs, or facilities. Include any relevant information about the limitations you may face without the requested accommodation.
05
State any other possible alternative modifications that might be suitable if the primary request cannot be fulfilled. This demonstrates flexibility and a willingness to find a mutually beneficial solution.
06
Finally, include your signature and date the request. Make sure to keep a copy for your records.
Who needs a request for reasonable modification?
01
Individuals with disabilities who require accommodations to fully access and participate in programs, activities, or services.
02
People with medical conditions or other factors that may impact their ability to engage in certain tasks without modifications.
03
Any individual who believes that without reasonable modifications, they would be subject to discrimination or unfair treatment based on their specific circumstances.
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