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Opioid Use Disorder Accommodation Request for Apartment

If you are in recovery and your criminal history that is related to Opioid Use Disorder (OUD) is making it hard for you to rent an apartment, you can ask your landlord to make an accommodation and ignore your criminal history.

OUD is considered a disability. Under the Fair Housing Act, people with disabilities are protected from housing discrimination that is based on a criminal history if that criminal history is a result of your disability.

When you ask a landlord to ignore your disability-related criminal history, this is called requesting a reasonable accommodation. The best way to request a reasonable accommodation is by sending a letter to the landlord. (Learn more about Renting an Apartment When You Are in Recovery).

To create your letter, follow these steps:

  1. Complete the form below
  2. Click the "Create my request" button
  3. You will be taken to a new page that has a PDF of your letter
  4. Download or print the PDF of your letter
  5. Submit your letter to the landlord you are trying to rent from

Please note: this tool will not submit the letter to the landlord. You must download or print the letter and submit it to the landlord.

Languages: this Opioid Use Disorder Accommodation Request Tool is available in English and will be available in Spanish soon. Be aware that DRTx recommends that you provide your request in a language understandable to the party or entity receiving it, which in most circumstances will be English.

Form

"*" indicates required fields

Your information

Your name * Required
How should the landlord contact you? * Required
The landlord's response to your accommodation request should be in writing. They may also contact you if they have questions about your request. Select the contact method(s) you want the landlord to use when communicating with you.
Enter the email address the landlord should use to communicate with you.
Enter the phone number the landlord should use to communicate with you.
Your mailing address * Required
Enter the mailing address the landlord should use to communicate with you.
When you complete this form, you'll be able to download a copy of your request letter from this website. If you would also like to receive a copy of your request letter via email, enter the email address you want it sent to.

Your situation

Answer the questions below about how Opioid Use Disorder has impacted you and what you are doing to recover.
How opioids impacted your life * Required
Using opioids impacted my ability to: (check all that apply)
Briefly describe how your opioid use led to you being charged with a crime. Please keep your response to one sentence if possible.
Sober * Required
Enter the date when you stopped using opioids. If you can't remember the exact date, just enter an approximate date.
Recovery * Required
What are you doing to remain in recovery from Opioid Use Disorder? (check all that apply)

Prospective Landlord's Information

Enter information below about the landlord that you are trying to rent from.
Landlord's name
Address of office of apartment complex * Required
Clear Signature
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