Notice of Right and Request for a Reasonable Accommodation – Already Receiving
Fill out this form to certify your notice of a right to a reasonable accommodation, request a new reasonable accommodation, or renew an existing one if the verification time frame has expired.
After submitting this form, you will receive an email with a copy of the completed form for your records.
Notice of Right and Request for a Reasonable Accommodation - Already Receiving
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Berkeley Housing Authority
1947 Center Street Fifth Floor, Berkeley, CA 94704
Telephone: (510) 981-5470 Fax: (510) 981-5480