Reasonable Accommodation Form (Landlord Form)

From HUD’s updated guidance (January, 2020), “housing providers may not require a health care professional to use a specific form (including this document), to provide notarized statements, to make statements under penalty of perjury, or to provide an individual’s diagnosis or other detailed information about a person’s physical or mental impairments.

Housing providers and the U.S. Department of Housing and Urban Development rely on professionals to provide accurate information to the best of their personal knowledge, consistent with their professional obligations.

Due to HUD’s mandate, our clinicians do not complete any landlord forms.