[Company Letterhead if Applicable]
[Name of Reliable Third Party] [Date] To [Housing Provider]
I am the [health care provider/therapist/social worker/non-medical service provider/member of a peer support group/parent] for [name of person requesting letter], and am familiar with [his/her/their] condition and can confirm that she/he/their indeed meets the definition of disability under the American with Disabilities Act, the Fair Housing Act, and the Rehabilitation Act of 1973.
Due to [his/her/their] disability, [name of person requesting letter] has certain limitations and is not able to enjoy certain major life activities. An assistance animal is necessary for [her/him/them] to live in the community and be able to enjoy one or more of these major life activities.
Thank you for providing this reasonable accommodation for [patient’s name] If you have any further questions, please feel free to contact me at [email address].
Sincerely, [Signature] [Name and Title]
[Date]
Dear [Housing Provider],
I am writing to request an assistance animal as a reasonable accommodation for my disability.
I live [at] [am applying to rent your property at] [address]. Because of my disability, I need to keep an assistance animal as a reasonable accommodation.
My [health care provider/therapist/social worker/non-medical service provider/member of a peer support group/parent] has deemed these accommodations/modifications necessary due to my disability. I can provide this verification if you need it.
Federal and state law require that a housing provider reasonably accommodate tenants/occupants and applicants who have disabilities.
Please respond to this request, in writing, by [date]. Please understand that failure to respond to a reasonable accommodation, undue delay in responding, or unlawfully denying a reasonable accommodation request constitutes disability discrimination. See 2 CCR §12177(e). Feel free to contact me at [your e-mail address]. Thank you for your attention to this request.
Sincerely, [Your name] [Your address]