1 -- Sample Request for RA -- Equipment (00286132).DOC
Form developed by the Fair Housing Center of West Michigan • www.fhcwm.org. Dear _____ (name), on _____ (date) you requested the following reasonable accommodation and/or modification for yourself or a household member, or person associated with you: _____ ... You do not have to provide specific information about the disability or a diagnosis ... ................
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