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Page 5 of 6 PUBLIC HOUSING AUTHORITY APPROVAL OF REQUEST FOR REASONABLE ACCOMMODATION |
Date:________________________ To: [Provide Applicant/Resident’s Name & Address] Dear Applicant or Resident: We have received and approved your request for reasonable accommodation. Specifically, you requested [describe specific accommodation request(s)]. - _____We will provide you with the requested accommodation(s) by [date].
- _____Although we have approved your request, we will not be able to complete your accommodations until [date]
- due to [describe the reason(s) for the delay.]
_________________________________________________________________ _________________________________________________________________ _________________________________________________________________ If you have any questions regarding this matter, please contact this office [provide contact information]. If you think that this change or modification is not what you requested; if this is unacceptable; or, if you object to the length of time it will take to provide your request, you may contact the Public Housing Authority Section 504/Coordinator at [provide name, address, telephone number of Section 504/ADA Coordinator.] In addition, you may exercise your right to appeal a PHA decision through your local HUD office or the U.S. Department of Justice. You may contact the local HUD office at: U.S. Department of Housing and Urban Development HUB Office Address City/State/Zip Code Telephone: ( ) Facsimile: ( ) TDD/TTY Number: Sincerely, Name/Title Public Housing Authority
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