Inglewood, CA · Los Angeles County

No notary required

Reasonable Accommodation Policy And Notice Of Right To Request A Reasonable Accommodation

Inglewood Housing Authority participants or applicants with disabilities use this form to request a change to a policy or practice for equal access to housing programs.

What this form is

This policy and request form explains how Inglewood Housing Authority participants or applicants with disabilities can request an accommodation for equal access to housing programs and related services. The applicant completes the form when seeking an accommodation and provides contact information, the requested change, and details for a healthcare professional who can verify the need. The form says not to list diagnosed ailments or disabilities.

Who needs it

Inglewood Housing Authority participants or applicants with disabilities who need a policy or practice change to access a housing program should complete this form.

How to submit it

Submit the completed request to the Inglewood Housing Authority. The authority mails the verification form to the named healthcare professional; participants cannot hand-deliver verification forms.

About notarization

This document is signed without a notary; the applicant signs and dates the request, and no notarized or sworn attachment is mentioned.

How to submit this form

  1. 1

    Download The Form

    Download the Inglewood Housing Authority reasonable accommodation policy and request form.

  2. 2

    Complete The Request

    Complete the request as the participant or applicant, provide the requested information, and do not list diagnosed ailments or disabilities.

  3. 3

    Provide Healthcare Professional Details

    Name the healthcare professional the authority may contact to verify the need for the accommodation.

  4. 4

    Submit To The Authority

    Submit the completed request to the Inglewood Housing Authority. The authority mails the verification form to the healthcare professional.

Frequently asked questions

Who uses the Inglewood reasonable accommodation request form?
Inglewood Housing Authority participants or applicants with disabilities use it to request a change to a policy or practice for access to housing programs and related services.
What information does the request form ask for?
It asks for household and contact details, the accommodation requested, and information about a healthcare professional who can verify the need. It says not to list diagnosed ailments or disabilities.
Do I need a notary for the reasonable accommodation request?
No. The document is signed without a notary; the applicant signs and dates the request, and no notarized or sworn attachment is mentioned.
How do I submit the reasonable accommodation request?
Submit the completed request to the Inglewood Housing Authority. The authority mails the verification form to the named healthcare professional; participants cannot hand-deliver verification forms.

Need something notarized?

This Reasonable Accommodation Policy And Notice Of Right To Request A Reasonable Accommodation doesn’t need a notary — but if you have another Inglewood form that does, a commissioned online notary can help.