Connecticut Assistance-Animal Housing Accommodation Request
CONNECTICUT ASSISTANCE-ANIMAL HOUSING ACCOMMODATION REQUEST
Date: [__/__/____]
To housing provider or manager: [NAME AND ADDRESS OR EMAIL]
From applicant or resident: [FULL NAME]
Dwelling or application: [STREET ADDRESS AND UNIT]
Private contact for response: [EMAIL OR MAILING ADDRESS]
Request
I request a reasonable accommodation under Conn. Gen. Stat. § 46a-64c(a)(6)(C)(ii) for the animal or animals identified below. The requested change to the housing rule or practice may be necessary for a person with a disability to use and enjoy this dwelling.
Person whose disability-related need is involved: ☐ Me ☐ A person who lives or intends to live with me
Housing rule, practice, or charge affected: [________________________________]
Change requested: [________________________________]
Animal and need
Complete a line for each animal included in this request. Describe the animal's role in ordinary terms. A diagnosis is not requested here.
| Animal name and species | How this animal helps with the disability-related need | Why the requested change helps with use and enjoyment of the dwelling |
|---|---|---|
| [NAME AND SPECIES] | [DESCRIPTION] | [DESCRIPTION] |
| [NAME AND SPECIES, IF APPLICABLE] | [DESCRIPTION] | [DESCRIPTION] |
If requesting more than one animal, explain any different or complementary roles:
[____________________________________________________________]
The Connecticut Supreme Court has addressed a two-animal request but did not decide a general legal test for when an additional animal is necessary. This request supplies the facts for an individualized decision. Pizzoferrato v. Mansions, LLC, Nos. SC 21111, SC 21113 (Conn. Mar. 31, 2026).
Supporting information and response
☐ The disability-related need is already apparent or known to the housing provider.
☐ I enclose relevant supporting information. Attachment: [DESCRIPTION]
☐ Please tell me what further information you need and a private way to provide it.
Please reply in writing by [REQUESTED DATE] to [PRIVATE CONTACT METHOD]. If you suggest another accommodation, please describe it so I can respond.
Requester signature: ______________________________ Date: [__/__/____]
Delivery record
Delivered to: [NAME OR OFFICE]
Method: ☐ Email ☐ Mail ☐ Hand delivery ☐ Housing portal
Date delivered: [__/__/____] Confirmation or tracking: [________________________________]
Official sources
About this template
- Last updated
- November 2, 2026
- Citations checked
- November 2, 2026
- Jurisdiction
- Connecticut
- Category
- Landlord & Tenant
Legal authority
- Conn. Gen. Stat. § 46a-64c(a)(6)(A)-(C)
- Commission on Human Rights & Opportunities ex rel. Pizzoferrato v. Mansions, LLC, Nos. SC 21111, SC 21113 (Conn. Mar. 31, 2026)
Landlord-tenant paperwork governs who can stay in a property, on what terms, and what happens when something goes wrong. Leases, notices to quit, security deposit demands, and habitability complaints all have state and often city-specific requirements for timing, content, and service. Getting the paperwork right is what makes an eviction actually succeed or a security deposit actually come back, because judges regularly dismiss cases over small procedural mistakes.
Not legal advice
This template is provided for informational purposes. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.
Checked against the law it cites
A reviewer verified this template's legal citations against the official source on November 2, 2026.
Conn. Gen. Stat. § 46a-64c(a)(6)(A)-(B) (checked November 2, 2026): "because of a learning disability or physical or mental disability of: (i) Such person; or (ii) a person residing in or intending to reside in such dwelling"
Conn. Gen. Stat. § 46a-64c(a)(6)(C)(ii) (checked November 2, 2026): "a refusal to make reasonable accommodations in rules, policies, practices or services, when such accommodations may be necessary to afford such person equal opportunity to use and enjoy a dwelling"
Commission on Human Rights & Opportunities ex rel. Pizzoferrato v. Mansions, LLC, Nos. SC 21111, SC 21113 (Conn. Mar. 31, 2026) (checked November 2, 2026): "we vacate the judgment of the Appellate Court insofar as it addresses the “record of” prong of § 46a-51 (20) and the legal standard for determining whether an accommodation is “necessary”"
Draft your Connecticut Assistance-Animal Housing Accommodation Request in the editor
Answer a few questions, let the AI editor draft each section from your answers, review it, and download Word and PDF. $99 one time, or $249 per month for every document and every Ezel app.