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This form is used by students at Plymouth State University to request housing accommodations for medical, psychological, or disability-related conditions. It requires information from both the student and a licensed provider to evaluate the request based on the definition of disability under the Fair Housing Act.

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What is housing accommodation request-provider form?

The housing accommodation request-provider form is a document used to request reasonable accommodations related to housing for individuals with disabilities.

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

Individuals seeking housing accommodations due to a disability are required to file the housing accommodation request-provider form.

How to fill out housing accommodation request-provider form?

To fill out the housing accommodation request-provider form, provide your personal information, details about your disability, the specific accommodation requested, and any supporting documentation.

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

The purpose of the housing accommodation request-provider form is to facilitate the process of requesting and documenting necessary accommodations for individuals with disabilities in housing.

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

The form must report personal identification details, the nature of the disability, the requested accommodation, and any relevant medical documentation.

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