Beaumont, TX · Jefferson County

No notary required

Request for Reasonable Accommodations Application

This application lets people with disabilities, their representatives, housing developers, or residential service providers request a reasonable accommodation from the City of Beaumont.

What this form is

Use this application to ask the City of Beaumont for an accommodation in its zoning, building, or other regulations, policies, practices, or procedures related to housing. It requests applicant and property-owner contact details, the site address, the applicant’s relationship to the person with a disability, the need and requested accommodation, and the regulation or procedure for which a deviation or waiver is sought.

Who needs it

A person with a disability, someone applying on their behalf, a housing developer, or a residential service provider may use this application to request an accommodation.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This application is signed without a notary; the owner declaration certifies the information as true and correct under penalty of criminal prosecution.

How to submit this form

  1. 1

    Download The Application

    Download the Request for Reasonable Accommodations Application.

  2. 2

    Complete The Application

    Provide the requested applicant, property-owner, site, and disability-related information, and describe the need and requested accommodation.

  3. 3

    Identify The Requested Deviation

    Name the regulation, policy, or procedure for which you are requesting a deviation or waiver.

  4. 4

    Sign And Submit

    Complete the owner declaration and signature fields, then check the city website for current submission contact details.

Frequently asked questions

What is the Request for Reasonable Accommodations Application?
It is an application for requesting an accommodation in the City of Beaumont’s housing-related zoning, building, or other regulations, policies, practices, or procedures.
Who can file this application?
The applicant may be a person with a disability, someone applying on behalf of a person with a disability, a housing developer, or a provider of residential services for a person with a disability.
Do I need a notary for the Request for Reasonable Accommodations Application?
No. This application is signed without a notary. The owner declaration certifies the information as true and correct under penalty of criminal prosecution.
How do I submit the application?
The document does not give submission instructions or identify a department. Check the City of Beaumont website for current contact details.

Need something notarized?

This Request for Reasonable Accommodations Application doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.