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Run: 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, ...

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Submission Notice

Who is submitting this request? (required)

Consent and disclosure acknowledgment (required)

Yes No N/A

What happens after I submit?

Requester Information

Requester full name (required)

Email address

Phone number

Preferred contact method (required)

Relationship to tenant (required)

Tenant and Unit Details

Tenant name (required)

Unit number

Property or community name (required)

Lease or case reference number

Move-in date

Accommodation Request

Date requested (required)

Type of request (required)

Requested accommodation (required)

Describe the accommodation or change being requested.

Barrier or housing need addressed (required)

Briefly describe the barrier the accommodation is intended to address.

Urgency level (required)

Verification and Supporting Information

Is verification needed to evaluate the request? (required)

Verification requested

Supporting documents

Upload only documents necessary to support the request. Avoid sending unnecessary medical records.

Additional notes

Review and Determination

Assigned reviewer

Review status (required)

Decision date

Determination

Determination reason

Follow-up actions

Get your results

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Email (required)

Your name (optional)

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