Sample Letter Requesting A Reasonable Modification


Below is a sample letter for your convenience. Fill in the blanks and remove the text in the brackets.

Dear ____________________________ [name of housing provider]:

As a person with a disability, I am hereby requesting a reasonable modification to ____________________________________________ [address of housing to be modified] pursuant to the Fair Housing Act, 42 U.S.C. §3604, which allows disabled tenants to make “reasonable modifications of existing premises occupied or to be occupied by such person if such modifications may be necessary to afford such person full enjoyment of the premises.”

The modification I am requesting is ________________________________ _________________________________ [describe modification requested].

I need this modification because ___________________________________ _____________________________________________________________ _______________________[briefly explain why you need the modification, although you do not need to reveal the nature or extent of your disability].

The approximate cost of the modification is ___________________ [list approximate cost of modification].

Please respond to this reasonable modification request in writing at your earliest convenience.


_____________________ [your signature]
_____________________ [your name]
_____________________ [date]
_____________________ [your address]
_____________________ [your telephone number]