Pacifica, CA · San Mateo County
Reasonable Accommodation Request
This form lets an applicant ask the City of Pacifica Planning Department for a reasonable accommodation related to using and enjoying housing.
What this form is
Applicants use this form to describe a requested reasonable accommodation for using and enjoying housing and the regulation or procedure from which they seek accommodation. It asks for the housing address, applicant contact details, whether the request is temporary or permanent, and the reason for the request; applicants are not required to state the nature of a disability. Supporting documents may be attached.
Who needs it
A person seeking a reasonable accommodation related to the use and enjoyment of housing in Pacifica should complete and submit this request.
How to submit it
Submit the completed form to the Planning Department at 1800 Francisco Blvd., Pacifica, CA 94044, or email it to [email protected]. The form states there is no fee for the first eight hours of City staff processing time; additional staff time or study costs may be charged.
About notarization
This request is signed and dated without a notary; the form asks for supporting documents but does not identify any as sworn or notarized.
How to submit this form
- 1
Download The Form
Download the Reasonable Accommodation Request PDF.
- 2
Complete The Request
Provide the housing address, applicant details, reason for the request, accommodation sought, relevant regulation or procedure, and whether it is temporary or permanent.
- 3
Gather Supporting Documents
Attach documents that support the request and would assist the Planning Department in considering it.
- 4
Submit To The Planning Department
Deliver the completed form to 1800 Francisco Blvd., Pacifica, CA 94044, or email it to [email protected].
Frequently asked questions
- What is the Reasonable Accommodation Request for?
- It lets an applicant describe a requested accommodation for using and enjoying housing, including the regulation or procedure from which accommodation is sought.
- What information does the form request?
- It asks for the housing address, applicant contact information, reason for the request, requested accommodation, applicable regulation or procedure, and whether the request is temporary or permanent.
- How do I submit the Pacifica request?
- Submit it to the Planning Department at 1800 Francisco Blvd., Pacifica, CA 94044, or email the completed form to [email protected].
- Do I need a notary for the Reasonable Accommodation Request?
- No. The form requires the applicant's signature and date, not notarization. It invites supporting documents but does not identify any as sworn or notarized.
Need something notarized?
This Reasonable Accommodation Request doesn’t need a notary — but if you have another Pacifica form that does, a commissioned online notary can help.