375 Park Ave, Suite 1, Coos Bay541-269-5561Mon to Fri, 8 AM to 5 PM

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Reasonable Accommodation Request and Verification

Request an accommodation, with verification from your provider.

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Rather do it on paper?

Stop by 375 Park Ave, Suite 1, Coos Bay, or call 541-269-5561 and we will send you the form. TTY 711.

Grand Management Services provides reasonable accommodations to our residents with disabilities who have a verifiable need for the reasonable accommodation. A reasonable accommodation is an exception made to the usual rules or policies made necessary because of a disability for the resident to use and enjoy an apartment community. The resident has authorized you to provide the information requested on this form.

Fields marked with an asterisk are required.

Resident
Verifier

This signature authorizes the verifier to provide answers to the questions below to the best of his or her knowledge of this resident. The Fair Housing Act defines disability as a physical or mental impairment that substantially limits one or more major life activities. The Supreme Court has determined that to meet this definition a person must have an impairment that prevents or severely restricts the person from doing activities that are of central importance in most peoples' daily lives. The disability must be permanent (of continual or long duration) to be protected by the Fair Housing Act.

1. Is this resident disabled?

2. The legal definition of a reasonable accommodation is an exception to the normal rules of an apartment community that is necessary for the resident to have an equal opportunity to use and enjoy his or her apartment community. Note that applying this definition to a request requires a higher standard than merely stating that a resident would benefit from the request.

3. Is it your opinion that the requested accommodation is necessary because of his or her disability for this resident to use and enjoy this apartment community?
5. If necessary, will you be willing to testify in a court of law concerning the information provided in this form?