DATE

TO LANDLORD, HOA, COA

DRAFT
I, [NAME], have been diagnosed with an [insert the MHP's diagnosis here: emotional or mental] disability by
my licensed mental health professional (see attached letter). As a result, I am requesting reasonable
accommodation for my disability under the Fair Housing Act. Fortunately, my reasonable accommodation does
not require any physical modification of the interior or exterior of the dwelling. I n this case, my reasonable
accommodation is “an exception or change that a housing provider makes to rules, policies, services or
regulations that will assist a resident or applicant with a disability to take full advantage of a housing program
and/or dwelling.” I am simply requesting reasonable accommodation of my disability that allows me to live with
my emotional support animal(S) in order to af ford me the “equal opportunity to use and enjoy my dwelling”.
Furthermore, I understand that I am responsible for any damage associated with my emotional support animal
beyond what is considered normal wear and tear.

Should you deny my reasonable accommodation, please reply in writing the reason(s) why you are denying my
request so that I expressly know that I am not being treated differently because of my disability.

If you have any questions regarding your responsibility toward disabled individuals like me, please search for
and read the U.S. Department of Housing and Urban Development (HUD) FHEO Notice: FHEO-2013-1.

I look forward to being provided reasonable accommodation. I expect any intentionally or accidently revealed
or inferred medical history, including my diagnosis and treatment, and this request for reasonable
accommodation to remain confidential and protected.

Sincerely,

[NAME]