Request for Reasonable Accommodation or Modification Form 2026

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The document is a Request for Reasonable Accommodation or Modification Form, intended for individuals with disabilities seeking modifications or accommodations in housing as per the Fair Housing Act. It requires personal information from both the individual requesting the accommodation and the landlord or housing provider, along with details about the specific modifications needed.

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Click ‘Get Form’ to open the Request for Reasonable Accommodation or Modification Form in the editor.
Begin by filling out the 'Individual or Tenant Information' section. Enter the date, your name, address, city, state, zip code, phone number, and email address accurately.
Next, move to the 'Landlord or Housing Provider Information' section. Provide the name and address of your landlord or housing provider along with their city, state, and zip code.
In the designated area, clearly state that you have a disability as defined by the Fair Housing Act. Specify your name and describe how your disability necessitates reasonable modifications or accommodations to enjoy your housing unit.
Ensure all information is complete and accurate. Review each section before submitting to avoid any delays in processing your request.

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Versions	Form popularity	Fillable & printable
2015	4.6 Satisfied (66 Votes)

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What is not a reasonable accommodation?

Reasonable accommodation does not include removing essential job functions, creating new jobs, and providing personal need items such as eye glasses and mobility aids. Nothing in the ADA prohibits employers from providing these types of accommodations; they simply are not required accommodations.

What are the most common accommodations?

Commonly Utilized Accommodations Electronic copies of notes, handouts, overheads, or chalkboard notes. Use of a scribe or note taker. Seating locations (close to the chalkboard or screen) Tape-recorded lectures. Taped textbooks. Alternate test format: oral, Braille, or large print.

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.

How do I write a reasonable accommodation request?

Written Accommodation Requests Identify yourself as a person with a disability. State that you are requesting accommodations under the ADA (or the Rehabilitation Act of 1973, if you are a federal employee) Identify your specific problematic job tasks. Identify your accommodation ideas.

What is the meaning of reasonable accommodation request?

Reasonable accommodation is any modification or adjustment to a job or the work environment that will enable an applicant or employee with a disability to participate in the application process or to perform essential job functions.

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