Are there any documents that corroborate your complaint? If yes, please
provide copies of documents if available.
Did the landlord/owner/realtor/lender provide a reason for their conduct
towards you? If yes, please explain.
QUESTIONS FOR DISABILITY DISCRIMINATION CLAIMS
Do you have medical documentation describing the limitations caused by
your disability?
How does your disability affect your ability to talk, take care of your daily
activities, sleep, eat, breathe, work, hear, and/or see?
To what extent is your disability or impairment corrected by medication or
devices?
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Is your condition permanent or temporary?
Do you receive SSI or SSDI?
When was the onset of the condition?
If you do not have a disability, did the housing provider treat you like you
had a disability? If yes, please explain.
Did you have a disability in the past that is no longer a disability? If yes,
please explain.
Explain how you made your housing provider aware of your disability or
impairment. Provide date(s).
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Did you request an accommodation for your disability? If yes, please
explain.
What was your housing provider’s response to your request for an
accommodation?
Why do you believe your housing provider responded that way to your
request for an accommodation?
If your housing provider did not provide the accommodation, did the housing
provider give you a reason?
Did the housing provider offer a different accommodation? If yes, please
explain.
Updated 07/17
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