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DISABILITY SERVICES Housing Accommodation Review CommitteeHealthcare Documentation for Assistance & Service Animal Request To be Completed by a Licensed and Qualified Medical Physician, Clinician,

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How to fill out housing-disability-accommodation-request-form

01

Obtain a copy of the housing-disability-accommodation-request-form from your housing provider.

02

Fill out your personal information, including your name, contact information, and current housing address.

03

Provide details about your disability, including any medical documentation or reports supporting your need for accommodation.

04

Specify the type of accommodation you are requesting, such as wheelchair accessibility, service animals, or modified living arrangements.

05

Sign and date the form before submitting it to your housing provider.

Who needs housing-disability-accommodation-request-form?

01

Individuals with disabilities who require specific accommodations in their housing in order to live comfortably and accessibly.

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What is housing-disability-accommodation-request-form?

The housing-disability-accommodation-request-form is a document used to request accommodations for disabilities in housing.

Who is required to file housing-disability-accommodation-request-form?

Individuals with disabilities who require accommodations in housing are required to file the housing-disability-accommodation-request-form.

How to fill out housing-disability-accommodation-request-form?

To fill out the housing-disability-accommodation-request-form, individuals must provide information about their disability and the specific accommodations needed.

What is the purpose of housing-disability-accommodation-request-form?

The purpose of the housing-disability-accommodation-request-form is to ensure that individuals with disabilities have equal access to housing by requesting necessary accommodations.

What information must be reported on housing-disability-accommodation-request-form?

Information such as the nature of the disability, specific accommodations needed, and any supporting documentation must be reported on the housing-disability-accommodation-request-form.

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