Notice of Right and Request for a Reasonable Accommodation – Already Receiving

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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Notice of Right to Reasonable Accommodation

If you or a family member has a disability and as a result of the disability you need:

  • A modification to our rules or policies such as permission for a live in aid, additional time to search for housing, or other changes to our rules; or
  • A change in the way we communicate with you or give you information, you may ask for this kind of rule or policy change by requesting a reasonable accommodation.
  • A structural modification to your unit, or a move to a different unit (Low Income Public Housing Units only)
  • Accommodation of a service or companion animal
Select your request
If you have a disability as verified by a medical professional, and if your request for an accommodation is directly related to your disability, reasonable (it does not pose and “undue financial or administrative burden”), and does not violate or conflict with a basic program element (payment of rent, inspections, and responsibility to be a good neighbor) or result in an undue financial or administrative burden to the BHA, we will grant the change you request.
Name*
Email*
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Berkeley Housing Authority
1947 Center Street Fifth Floor, Berkeley, CA 94704
Telephone: (510) 981-5470   Fax: (510) 981-5480