Common use of Department of Housing and Urban Development Clause in Contracts

Department of Housing and Urban Development. Iowa Civil Rights Commission 000 Xxxx 00xx Xxxxxx Xxx Xxxxxx, Xxxx 00000 000-000-0000 or 800-457-4416 U.S. Department of Housing and Urban Development Office of Fair Housing & Equal Opportunity 000 Xxxxx Xxxxxx Xxxxxxx Xxxxx XX Xxxxxx Xxxx, Xxxxxx 00000 000-000-0000 or 000-000-0000 Attachment 2 Request for Reasonable Accommodation If you, a member of your household, or someone associated with you has a disability, and feel that there is a need for a reasonable accommodation for that person to fully enjoy the premises or have equal opportunity to use and enjoy a dwelling unit or the public or common use areas, please complete this form and return it to your Apartment Manager. Check all items that apply and explain fully. The Apartment Manager will assist you in completing this form, and will answer this request in writing within two weeks (or sooner if the situation requires an immediate response). Name of Tenant or Applicant: Today’s Date: Signature of Tenant or Applicant: The person who has a disability requiring a reasonable accommodation is:  Me  A person associated or living with me Name of person with disability: Address: Telephone: I am requesting the following change(s) in rule, policy, or practices so that I and persons associated or living with me can live here with equal opportunity to use and enjoy the premises. I need the following change(s): I need this reasonable accommodation because: Requester Date Apartment Manager Date Attachment 3 Request for Reasonable Accommodation [To be completed by Apartment Manager if Requester cannot or will not complete written form.] On , the undersigned Tenant or Applicant orally requested a reasonable accommodation. He/she requested the following change(s) in rule, policy or practices: Signature of Tenant or Applicant: Name of Tenant or Applicant: Address: Date: I, the undersigned, Apartment Manager of Apartments:  Gave the Tenant or Applicant the form, “Request for Reasonable Accommodation” and offered to assist in completing the form.  Granted the request.  Explained the request could not be evaluated until the following additional information is provided. Apartment Manager Date Attachment 4 Approval or Denial of Reasonable Accommodation Request Dear: Address: On , you requested the following reasonable accommodation: We have reviewed your request and we have decided:  To approve your request. We will make the following change(s) in rule, policy or practices: Date change(s) will be made:  To deny your request. We denied your request because: In making this denial decision, we relied on information provided by the following people or documents:  To seek further information from you about your request. We cannot approve or deny your request without additional information or documentation. Please provide:

Department of Housing and Urban Development. Iowa Civil Rights Commission 000 Xxxx 00xx Xxxxxx Xxx Xxxxxx, Xxxx 00000 000-000-0000 or 800-457-4416 U.S. Department of Housing and Urban Development Office of Fair Housing & Equal Opportunity 000 Xxxxx Xxxxxx Xxxxxxx Xxxxx XX Xxxxxx Xxxx, Xxxxxx 00000 000-000-0000 or 000-000-0000 Attachment 2 Request for Reasonable Accommodation If you, a member of your household, or someone associated with you has a disability, and feel that there is a need for a reasonable accommodation for that person to fully enjoy the premises or have equal opportunity to use and enjoy a dwelling unit or the public or common use areas, please complete this form and return it to your Apartment Manager. Check all items that apply and explain fully. The Apartment Manager will assist you in completing this form, and will answer this request in writing within two weeks (or sooner if the situation requires an immediate response). Name of Tenant or Applicant: Today’s Date: Signature of Tenant or Applicant: The person who has a disability requiring a reasonable accommodation is:  Me  A person associated or living with me Name of person with disability: Address: Telephone: I am requesting the following change(s) in rule, policy, or practices so that I and persons associated or living with me can live here with equal opportunity to use and enjoy the premises. I need the following change(s): I need this reasonable accommodation because: Requester Date Apartment Manager Date Attachment 3 Request for Reasonable Accommodation [To be completed by Apartment Manager if Requester cannot or will not complete written form.] On , the undersigned Tenant or Applicant orally requested a reasonable accommodation. He/she requested the following change(s) in rule, policy or practices: Signature of Tenant or Applicant: Name of Tenant or Applicant: Address: Date: I, the undersigned, Apartment Manager of Apartments:  Gave the Tenant or Applicant the form, “Request for Reasonable Accommodation” and offered to assist in completing the form.  Granted the request.  Explained the request could not be evaluated until the following additional information is provided. Apartment Manager Date Attachment 4 Approval or Denial of Reasonable Accommodation Request Dear: Address: On , you requested the following reasonable accommodation: We have reviewed your request and we have decided:  To approve your request. We will make the following change(s) in rule, policy or practices: Date change(s) will be made: _  To deny your request. We denied your request because: In making this denial decision, we relied on information provided by the following people or documents:  To seek further information from you about your request. We cannot approve or deny your request without additional information or documentation. Please provide:

Department of Housing and Urban Development. Iowa Civil Rights Commission 000 Xxxx 00xx Xxxxxx Xxx Xxxxxx, Xxxx 00000 000-000-0000 or 800-457-4416 U.S. Department of Housing and Urban Development Office of Fair Housing & Equal Opportunity 000 Xxxxx Xxxxxx Xxxxxxx Xxxxx XX Xxxxxx Xxxx, Xxxxxx 00000 000-000-0000 or 000-000-0000 Attachment 2 Request for Reasonable Accommodation If you, a member of your household, or someone associated with you has a disability, and feel that there is a need for a reasonable accommodation for that person to fully enjoy the premises or have equal opportunity to use and enjoy a dwelling unit or the public or common use areas, please complete this form and return it to your Apartment Manager. Check all items that apply and explain fully. The Apartment Manager will assist you in completing this form, and will answer this request in writing within two weeks (or sooner if the situation requires an immediate response). Name of Tenant or Applicant: Today’s Date: Signature of Tenant or Applicant: The person who has a disability requiring a reasonable accommodation is:  Me  A person associated or living with me Name of person with disability: Address: Telephone: I am requesting the following change(s) in rule, policy, or practices so that I and persons associated or living with me can live here with equal opportunity to use and enjoy the premises. I need the following change(s): I need this reasonable accommodation because: Requester Date Apartment Manager Date Attachment 3 Request for Reasonable Accommodation [To be completed by Apartment Manager if Requester cannot or will not complete written form.] On , the undersigned Tenant or Applicant orally requested a reasonable accommodation. He/she requested the following change(s) in rule, policy or practices: Signature of Tenant or Applicant: Name of Tenant or Applicant: _ Address: Date: I, the undersigned, Apartment Manager of Apartments:  Gave the Tenant or Applicant the form, “Request for Reasonable Accommodation” and offered to assist in completing the form.  Granted the request.  Explained the request could not be evaluated until the following additional information is provided. Apartment Manager Date Attachment 4 Approval or Denial of Reasonable Accommodation Request Dear: Address: On , you requested the following reasonable accommodation: We have reviewed your request and we have decided:  To approve your request. We will make the following change(s) in rule, policy or practices: Date change(s) will be made:  To deny your request. We denied your request because: In making this denial decision, we relied on information provided by the following people or documents:  To seek further information from you about your request. We cannot approve or deny your request without additional information or documentation. Please provide:

Department of Housing and Urban Development. Iowa Civil Rights Commission 000 Xxxx 00xx Xxxxxx Xxx Xxxxxx, Xxxx 00000 000-000-0000 or 800-457-4416 U.S. Department of Housing and Urban Development Office of Fair Housing & Equal Opportunity 000 Xxxxx Xxxxxx Xxxxxxx Xxxxx XX Xxxxxx Xxxx, Xxxxxx 00000 000-000-0000 or 000-000-0000 Attachment 2 Request for Reasonable Accommodation If you, a member of your household, or someone associated with you has a disability, and feel that there is a need for a reasonable accommodation for that person to fully enjoy the premises or have equal opportunity to use and enjoy a dwelling unit or the public or common use areas, please complete this form and return it to your Apartment Manager. Check all items that apply and explain fully. The Apartment Manager will assist you in completing this form, and will answer this request in writing within two weeks (or sooner if the situation requires an immediate response). Name of Tenant or Applicant: Today’s Date: Signature of Tenant or Applicant: The person who has a disability requiring a reasonable accommodation is:  Me  A person associated or living with me Name of person with disability: Address: Telephone: I am requesting the following change(s) in rule, policy, or practices so that I and persons associated or living with me can live here with equal opportunity to use and enjoy the premises. I need the following change(s): I need this reasonable accommodation because: Requester Date Apartment Manager Date Attachment 3 Request for Reasonable Accommodation [To be completed by Apartment Manager if Requester cannot or will not complete written form.] On , the undersigned Tenant or Applicant orally requested a reasonable accommodation. He/she requested the following change(s) in rule, policy or practices: Signature of Tenant or Applicant: Name of Tenant or Applicant: Address: Date: I, the undersigned, Apartment Manager of Apartments:  Gave the Tenant or Applicant the form, “Request for Reasonable Accommodation” and offered to assist in completing the form.  Granted the request.  Explained the request could not be evaluated until the following additional information is provided. Apartment Manager Date Attachment 4 Approval or Denial of Reasonable Accommodation Request Dear: Address: On , you requested the following reasonable accommodation: We have reviewed your request and we have decided:  To approve your request. We will make the following change(s) in rule, policy or practices: Date change(s) will be made:  To deny your request. We denied your request because: In making this denial decision, we relied on information provided by the following people or documents:  To seek further information from you about your request. We cannot approve or deny your request without additional information or documentation. Please provide: