Phoenix, AZ · Maricopa County
Disability Accommodation Request Form – Administrative Staff Review
Owners or authorized applicants use this form to request a disability accommodation for a proposed community residence home or center in Phoenix.
What this form is
This form requests an administrative review of a disability accommodation for a community residence home with 6–10 residents or a center with 11 or more residents. The applicant provides property and contact information, resident capacity, and certifications about authorization, development standards, violations, and compliance. Staff use the form to review nearby homes or centers, barriers, and block-face provisions.
Who needs it
An owner or authorized representative seeking a disability accommodation for a proposed community residence home or center completes the applicant sections.
How to submit it
Submit it to Planning & Development Department, Zoning Section, 200 W. Washington Street, 2nd Floor, Phoenix, Arizona 85003; call 602-262-7131.
About notarization
This document is signed and dated without a notary; it identifies no notarized or sworn attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download The Form
Download the Disability Accommodation Request Form for Administrative Staff Review.
- 2
Complete Applicant Sections
Provide the property and applicant information, then complete the certifications and sign and date the form.
- 3
Gather Attachments
The form does not identify any attachments to gather.
- 4
Submit To The City
Submit it to Planning & Development Department, Zoning Section, at the address listed on the form.
Frequently asked questions
- Who completes the Disability Accommodation Request Form?
- The owner of the existing or proposed use, or someone authorized to file on the owner's behalf, completes the applicant information and certification sections.
- What information does the form request?
- It requests the property address, parcel and legal description, resident capacity, and applicant contact information. The form also includes staff review fields and applicant certifications.
- Do I need a notary for the Disability Accommodation Request Form?
- No. This form is signed and dated without a notary; it identifies no notarized or sworn attachment, so the signer just signs and dates it.
- How do I submit the Disability Accommodation Request Form?
- Submit it to Planning & Development Department, Zoning Section, at 200 W. Washington Street, 2nd Floor, Phoenix, Arizona 85003. The form lists 602-262-7131.
Need something notarized?
This Disability Accommodation Request Form – Administrative Staff Review doesn’t need a notary — but if you have another Phoenix form that does, a commissioned online notary can help.