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Hud reasonable accommodation request form

Hud reasonable accommodation request form 2025

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The document is a verification form from the Fort Collins Housing Authority used to confirm a household member's disability status and their need for reasonable accommodations or modifications in housing. It outlines the process for obtaining verification from a medical professional, including questions about the individual's disability and specific accommodation requests related to their condition.

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Click ‘Get Form’ to open the HUD Reasonable Accommodation Request Form in the editor.
Begin by filling in the date and the verification source’s name and address in the designated fields. This information is crucial for identifying who will provide verification of the disability.
Next, enter the household member’s name and address. Ensure that this information matches what is on file with your housing authority.
In the 'Information Requested' section, check 'Yes' or 'No' to indicate if the household member is disabled according to federal law. Provide any necessary details as prompted.
Answer whether the household member requires their requested accommodation by selecting 'Yes' or 'No'.
Finally, describe the requested accommodation and its relation to the disability. Include any alternative accommodations that could also meet their needs.

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Versions	Form popularity	Fillable & printable
2013	4.8 Satisfied (195 Votes)
2011	4.2 Satisfied (70 Votes)

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How to make a reasonable accommodation request?

Prepare by writing down exactly what you need and determining what details you are going to share about your specific condition, illness, or disability. (Remember: you dont owe anyone an explanation for why you need the accommodation.) If you arent sure what you need, check out askjan.org to get ideas.

What do you write in a reasonable accommodation request?

I am writing to request accommodations in the workplace. I have worked at [insert company name] as a [insert your job position] since [approximate date you were hired]. I am experiencing some difficulties in effectively performing my job because of my disability.

How do you write a reasonable accommodation request?

Reasonable accommodation can include, but is not limited to, the following: Changing job duties. Providing leave for medical care. Changing work schedules. Relocating the work area. Providing mechanical or electrical aids.

What qualifies as a reasonable accommodation?

Under Title I of the Americans with Disabilities Act (ADA), a reasonable accommodation is a modification or adjustment to a job, the work environment, or the way things are usually done during the hiring process.

What is an example of reasonable accommodation?

Sufficient medical documentation should describe the nature, severity, and duration of the impairment, the activity or activities that the impairment limits, the extent to which the impairment limits the employees ability to perform the activity or activities, and should also substantiate why the requested reasonable

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What is an example of a reasonable accommodation for persons with disabilities?

Reasonable accommodation includes offering flexible working hours or modified work schedules to allow employees with disabilities to work without sacrificing their health or wellbeing. This might include: Changes in start/finish times to allow for greater time taken for commuting to/from place of work.