Housing Reasonable Accommodation Request Form
The purpose of this form is to assist Harvard University in determining whether, or to what extent, a reasonable accommodation is necessary for an affiliate of Harvard University requesting Housing accommodations. This form will reside with your accommodation coordinator (Harvard University Housing or University Disability Services) and will treated confidentially, with information shared only on a strict need-to-know basis.

Individuals meeting the affiliate requirements for Harvard University Housing should return the completed and signed Housing Reasonable Accommodation Request form and Health Care Provider Release form to their accommodation coordinator (if University Disability Services please see contact information above).

Office of the Assistant to the President for Institutional Diversity and Equity
UNIVERSITY DISABILITY SERVICES
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