Free Analysis Assessment Tool [Pro] Step 1 of 9 11% How our process works: Set aside 5-10 minutes to complete the following form. Once completed, our Fair Housing Team will review your answers, and respond via email usually within five business days. About You (Attorney)Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Enter Email Confirm Email GeneralDoes your client receive Social Security Disability Income or VA income?*YesNoDid the alleged discriminatory act happen within the last 365 days?*YesNo AccommodationDoes your client have written proof of providing your ESA letter to the property?*YesNoWritten proof can be email, fax, text message, or tracking number for mail delivery.Does your client have written proof of requesting an accommodation from the property?*YesNoDoes your client have proof of being denied the accommodation you requested?*YesNoHas your client been denied due to the property’s breed, weight, or size restrictions?*YesNoDo you have possession of any written rules, regulations, policies, or procedures which you think might be discriminatory?*YesNoDid your client's property/landlord accidentally discover your assistance animal?*YesNo Clinician/physicianIs your client's clinician licensed and located in your state of residence?*YesNoDid your client provide you a letter verifying the need for an assistance animal within the past 24 months?*YesNo ESA LetterDid your client purchase an ESA letter from an out-of-state online vendor?*YesNoDoes your client have a written ESA letter from a medical provider who would confidently state that you are a patient of theirs, or would confidently state they have diagnosed you with a mental/psychological disability?*YesNoWas your client required to pay for any of the following: additional pet insurance, training, ESA or Service Animal Registration for a certificate, or service animal vest?*YesNoUpload your client's ESA letter.Accepted file types: pdf, doc, docx. Assistance AnimalIs your client's assistance animal either a dog, cat, or bird?*YesNoIs your client's assistance animal accused of biting, nipping, lunging at any person, or being aggressive?*YesNo HousingDid the alleged housing discrimination occur at a hotel, motel, RV park or any other temporary housing?*YesNoDoes your client rent a room from their landlord and their landlord live in the same unit/house/condo?*YesNoDoes your client have at least one fine/notice for not cleaning up after your assistance animal?*YesNoDoes your client have at least one fine/notice which accuses your animal of being a nuisance for excessive barking etc.?*YesNoIs your client behind on rent, or refused to pay rent, or behind on fines & penalties to the property?*YesNoDoes your client rent a unit from a small landlord who rents a total number of four units or less?*YesNo By submitting this form, you agree to our Terms and Conditions.