[Your Name]
[Your Address]
[Your Address]
[Your Phone Number]
[Your E-Mail]
[Property Management Name]
[Property Management Address]
[Property Management Address]
[Date]
Dear [Contacts Name],
I am a qualified individual with a disability, as defined by the Fair Housing Amendments Act of 1988. I have a disability that causes the following limitations [List the limitations that you have that would benefit from the accommodations/modifications you are requesting, Examples: Sensory Processing Disorder, Overstimulation, etc.].
I am requesting the following accommodations to meet my needs [List the accommodations that you are requesting. Examples: permission to paint a room or the apartment in a more calming color, to switch a light fixture or fixtures, inset blackout shades, etc.]. These would greatly assist me with [Tell them how these accommodations would assist you with the limitations listed in paragraph one.].
I am requesting this accommodation so that I will have an equal opportunity to participate in your housing. HUD’s Office of Fair Housing and Equality Opportunity policy on Reasonable Accommodations and Modifications states that: “Federal nondiscrimination laws require housing providers to grant requests for reasonable accommodations and modifications in housing, programs, and activities.”
I have attached a letter from [Name and professional title of the person or persons. Example: Dr. Smith, MD.) that supports this request. Please reply to this letter in writing within ten business days.
Thank you,
[Leave this blank to sign.]
[your name]
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