Firebaugh, CA · Fresno County

No notary required

Reasonable Accommodations Application Packet/Checklist

Applicants use this packet to request a reasonable accommodation from the City of Firebaugh and provide information for the city’s review.

What this form is

The packet combines a checklist, questionnaire, review information, and application form for a reasonable accommodation request. It asks for the project location, property details, the disability-related basis for the request, the city rule or practice involved, and the accommodation sought. The checklist calls for a site plan and applicable supporting materials; the packet states there is no application fee.

Who needs it

People requesting a reasonable accommodation from the City of Firebaugh for housing use the packet to describe their request and provide supporting information.

How to submit it

Submit the application to the Community Development Department, 1133 P Street, Firebaugh, CA 93622. The packet states there is no fee and lists the department phone number as (559) 659-2043.

About notarization

This document is signed without a notary; the applicant, property owner, and agent sign and date the application, and it requests written medical certification.

How to submit this form

  1. 1

    Download The Packet

    Download the Reasonable Accommodations Application Packet/Checklist.

  2. 2

    Complete The Application

    Type or print clearly in ink, answer the questionnaire, describe the accommodation, and complete the application form.

  3. 3

    Gather Supporting Materials

    Include written medical certification, the requested site plan copies, and any relevant supporting information; obtain required property-owner signatures.

  4. 4

    Submit To The City

    Submit the completed materials to the Community Development Department at 1133 P Street, Firebaugh, CA 93622.

Frequently asked questions

Do I need a notary for the Reasonable Accommodations Application Packet?
No. The packet has signature and date lines but no notary block. It requests written medical certification, and the city says the information will be kept confidential.
How do I submit the Reasonable Accommodations Application Packet?
Submit it to the Community Development Department at 1133 P Street, Firebaugh, CA 93622. The packet lists (559) 659-2043 and states there is no application fee.
What information does the packet ask for?
It asks about the project site, current use and zoning, disability-related basis for the request, the city rule or practice involved, and the type of accommodation sought.
What materials should I include?
The checklist calls for three site plan prints and one 8½-by-11-inch copy, with façade drawings if applicable. It also requests written medical certification and other relevant supporting information.

Need something notarized?

This Reasonable Accommodations Application Packet/Checklist doesn’t need a notary — but if you have another Firebaugh form that does, a commissioned online notary can help.