Maine Assistance-Animal Housing Accommodation Request
MAINE ASSISTANCE-ANIMAL HOUSING ACCOMMODATION REQUEST
Date: [__/__/____]
To housing provider or manager: [NAME AND ADDRESS]
From applicant or tenant: [FULL NAME AND CONTACT INFORMATION]
Dwelling: [STREET ADDRESS, UNIT, CITY, MAINE ZIP]
Request
I request permission to use the assistance animal identified below in my dwelling under 5 M.R.S. § 4582-A(2)-(3). The animal addresses a need related to my physical or mental disability and helps me use and enjoy the home. Please evaluate this request individually and send your response to the address or email below.
Animal: [NAME, SPECIES, AND DESCRIPTION]
Relevant housing rule or practice: [NO-ANIMALS RULE OR OTHER SPECIFIC RESTRICTION]
Requested accommodation (check each applicable item):
☐ Allow this animal despite the rule identified above.
☐ Do not impose a fee or security deposit as a condition of using this assistance animal.
☐ Make this other change needed for the animal: [RULE AND REQUESTED CHANGE].
How the animal helps with the disability-related housing need, without giving a diagnosis or full medical history: [BRIEF FUNCTIONAL DESCRIPTION]
Information supporting the request
The animal fits this part of Maine's assistance-animal definition (select the accurate description):
☐ A health professional with knowledge of my disability-related need has determined that the animal is necessary to mitigate the effects of my disability. Professional and supporting document, if enclosed: [NAME, CREDENTIAL OR DOCUMENT DESCRIPTION].
☐ The animal is individually trained to do disability-related work or tasks. Brief description of work or tasks: [DESCRIPTION].
☐ I would like to discuss which definition applies and what limited information is needed to assess this request.
Supporting information enclosed, if any: [DOCUMENT DESCRIPTION]
Please tell me if more information is needed and offer a private way to provide it. I remain responsible for damage my animal does to the dwelling or facilities. If you believe this particular animal poses a health, safety, property, or substantial-interference concern under § 4582-A(3), please identify the facts so I can respond or discuss a workable solution.
Send your written response to: [EMAIL OR MAILING ADDRESS]
Telephone (optional): [PHONE]
Applicant or tenant signature: [________________________________] Date: [__/__/____]
Delivery record
I delivered this request to [NAME OR OFFICE] by ☐ email ☐ mail ☐ hand delivery ☐ housing portal on [__/__/____].
Delivery confirmation or tracking: [DETAILS]
Sources and References
About this template
- Last updated
- October 27, 2026
- Citations checked
- October 27, 2026
- Jurisdiction
- Maine
- Category
- Landlord & Tenant
Legal authority
- 5 M.R.S. § 4553(1-H)
- 5 M.R.S. § 4582-A(2)-(3)
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 October 27, 2026.
5 M.R.S. § 4553(1-H)(A) (checked October 27, 2026): "An animal that has been determined necessary for an individual with a physical or mental disability to mitigate the effects of a physical or mental disability by a physician, psychologist, physician associate, nurse practitioner, licensed social worker, licensed professional counselor or other licensed health professional with knowledge of the disability-related need for an assistance animal"
5 M.R.S. § 4553(1-H)(B) (checked October 27, 2026): "An animal individually trained to do work or perform tasks for the benefit of an individual with a physical or mental disability, including, but not limited to, guiding individuals with impaired vision, alerting individuals who are deaf or hard of hearing to intruders or sounds, providing reasonable protection or rescue work, pulling a wheelchair or retrieving dropped items."
5 M.R.S. § 4582-A(2) (checked October 27, 2026): "to refuse to make reasonable accommodations in rules, policies, practices or services when those accommodations are necessary to give a person with physical or mental disability equal opportunity to use and enjoy the housing"
5 M.R.S. § 4582-A(3) (checked October 27, 2026): "The use of an assistance animal may not be conditioned on the payment of a fee or security deposit, although the individual with a physical or mental disability is liable for any damage done to the premises or facilities by such an assistance animal."
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