Reasonable Accommodation Request Tracking Form (HUD)
Track tenant reasonable accommodation requests from intake to final determination in one HUD-focused form. It captures the request, supporting verification, review status, and follow-up actions without collecting unnecessary PII.
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Overview
This Reasonable Accommodation Request Tracking Form (HUD) template is built to document a tenant or applicant request from intake through final determination. It includes submission notice fields, requester contact details, tenant and unit information, the accommodation request itself, verification and supporting information, and a review section for status, decision, and follow-up actions.
Use it when a housing provider needs a consistent record of a request tied to a disability-related barrier, a policy exception, or a change in how a unit or property is accessed or used. The structure helps staff capture the minimum necessary information, route the request to the right reviewer, and keep an audit trail of what was asked, what was verified, and what was decided. Conditional logic is useful here: for example, only show supporting document fields when verification is needed, and only show follow-up actions after a decision is entered.
Do not use this form as a broad tenant intake or complaint form. It is not meant for general maintenance issues, rent disputes, or unrelated resident communications. It also should not collect unnecessary PII or detailed medical information. If your process requires legal review, manager approval, or a separate appeal path, those steps can be added to the template without changing the core purpose: track the request clearly, respond consistently, and document the outcome.
Standards & compliance context
- This template supports fair housing documentation by creating a consistent record of the request, review, and determination process.
- Use data minimization principles and collect only the fields needed to evaluate and track the accommodation request.
- If the form is public-facing, make it accessible under WCAG 2.1 AA with clear labels, keyboard navigation, and readable validation messages.
- If the request may involve disability-related information, include consent or disclosure language that explains how supporting information will be used and who can access it.
- Maintain an audit trail for changes to review status, determination, and follow-up actions so the case history remains clear.
General regulatory context for orientation only — verify current requirements with counsel or the relevant agency before relying on this template for compliance.
What's inside this template
Submission Notice
This section sets expectations up front by explaining how the request is submitted, what consent or disclosure applies, and what happens next.
- Who is submitting this request?
- Consent and disclosure acknowledgment
- What happens after I submit?
Requester Information
This section identifies who is making the request and how staff should contact them for clarification or follow-up.
- Requester full name
- Email address
- Phone number
- Preferred contact method
- Relationship to tenant
Tenant and Unit Details
This section ties the request to the correct resident, unit, and case record so the accommodation can be tracked accurately.
- Tenant name
- Unit number
- Property or community name
- Lease or case reference number
- Move-in date
Accommodation Request
This section captures the actual request, the barrier it addresses, and any urgency that affects review timing.
- Date requested
- Type of request
-
Requested accommodation
Describe the accommodation or change being requested.
-
Barrier or housing need addressed
Briefly describe the barrier the accommodation is intended to address.
- Urgency level
Verification and Supporting Information
This section records whether verification is needed and what supporting information was requested or received, using only the minimum necessary details.
- Is verification needed to evaluate the request?
- Verification requested
-
Supporting documents
Upload only documents necessary to support the request. Avoid sending unnecessary medical records.
- Additional notes
Review and Determination
This section documents who reviewed the case, what decision was made, why it was made, and what actions must happen next.
- Assigned reviewer
- Review status
- Decision date
- Determination
- Determination reason
- Follow-up actions
How to use this template
- 1. Configure the submission notice so the requester sees what information is collected, how it will be used, and what happens after submission.
- 2. Set up requester and tenant fields with the right validation, using email, phone, date picker, and short text fields instead of free-form text where possible.
- 3. Add conditional logic to show verification and supporting document fields only when the reviewer indicates that verification is needed.
- 4. Assign the review record to the correct staff member, then update review status, determination, and determination reason as the case moves forward.
- 5. Record follow-up actions after the decision, such as approval implementation, denial notice, additional information requests, or escalation for further review.
Best practices
- Mark required versus optional fields clearly so the requester knows exactly what is needed to start the review.
- Use progressive disclosure to hide verification and follow-up fields until they apply, which keeps the form shorter and easier to complete.
- Collect only the minimum necessary PII needed to identify the tenant, contact the requester, and document the accommodation request.
- Use a date picker for request and decision dates, a multi-select for request categories when more than one may apply, and a short text field for unit identifiers.
- Include a plain-language line that explains what happens after submission, including who reviews the request and how the requester will be contacted.
- Document the determination reason in specific terms so the record shows the basis for the decision without exposing unnecessary sensitive details.
- Keep supporting documents separate from the main narrative when possible so staff can review verification without overexposing private information.
What this template typically catches
Issues teams running this template most often surface in practice:
Common use cases
Frequently asked questions
What is this template used for?
This template is used to intake, document, and track a tenant reasonable accommodation request from the first submission through review and final determination. It gives staff a consistent record of who requested the accommodation, what barrier was described, whether verification was needed, and what action was taken. It is especially useful when multiple people need to review the same request and you want a clear audit trail.
Who should complete and manage this form?
The requester or staff member taking the request can complete the submission fields, and housing or property management staff should manage the review and determination fields. In practice, intake may be handled by a leasing office, resident services team, or fair housing coordinator. The assigned reviewer should be someone trained to evaluate requests consistently and to avoid asking for more information than is necessary.
How often is this form used?
Use it each time a tenant or applicant asks for a reasonable accommodation, including follow-up requests tied to the same barrier or unit. It is not a one-time policy document; it is a case-level tracking form. If the request changes, create a new entry or update the existing record so the history stays clear.
What information should and should not be collected?
Collect only the fields needed to understand the request, verify what is relevant, and document the decision. The form should avoid unnecessary PII and should not ask for medical details beyond what is needed to support the accommodation review. If supporting documents are requested, use conditional logic so those fields appear only when verification is actually needed.
How does this template help with HUD fair housing processes?
It creates a structured record of the request date, accommodation category, verification steps, determination, and follow-up actions, which helps staff apply a consistent process. That structure supports better documentation when a request is approved, denied, or needs more information. It also helps reduce missed steps, such as failing to record the reason for a decision or the person assigned to respond.
What are the most common mistakes when using this form?
Common mistakes include making every field required, asking for too much sensitive information, and leaving the determination reason vague. Another frequent issue is skipping the follow-up actions field, which makes it hard to track what happens after approval or denial. The form should also make clear what happens after submission so the requester knows when to expect a response.
Can this template be customized for different properties or workflows?
Yes. You can rename request categories, adjust the review statuses, add property-specific routing, or include conditional fields for different accommodation types. If your workflow includes legal review, management approval, or a separate verification step, those can be added without changing the core intake structure. Keep the form focused on the minimum necessary fields for the decision.
Can this form integrate with other systems?
It can be connected to case management, property management, or document storage workflows so the request record and supporting files stay together. Many teams also route submissions to email or task assignments for review and follow-up. If you integrate it, preserve the audit trail and make sure access is limited to staff who need the information.
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