Utah Assistance-Animal Housing Accommodation Request
UTAH ASSISTANCE-ANIMAL HOUSING ACCOMMODATION REQUEST
Date: [__/__/____]
To housing provider or manager: [NAME]
Delivery address or email: [ADDRESS OR EMAIL]
From applicant or resident: [FULL NAME]
Dwelling or application: [STREET ADDRESS, UNIT, CITY, UTAH ZIP]
Private response address or email: [CONTACT INFORMATION]
Request
I request a reasonable accommodation to keep the animal identified below at this dwelling. The requested change to a housing rule, policy, or practice may be necessary for me to use and enjoy the dwelling because of a disability. Utah Code § 57-21-5(4)(b); Utah Admin. Code R608-1-17(A).
Animal name and species: [________________________________]
Housing rule or restriction affected: [________________________________]
Change requested: [________________________________]
Animal's assistance (select what applies):
☐ The animal performs disability-related work or tasks. Brief description, without a diagnosis: [________________________________].
☐ The animal gives emotional support related to a disability. Brief description, without a diagnosis: [________________________________].
How the animal helps me use and enjoy this dwelling:
[____________________________________________________________]
Utah's assistance-animal rule includes emotional support animals. It asks for a demonstrable connection between the disability and the animal's assistance. This request describes that connection; it does not assume that every animal request must be approved.
Supporting information
Select one:
☐ The disability and the need for this animal are readily apparent from information already available to you.
☐ I enclose information from a qualified health care professional supporting the disability-related need. Enclosure: [DESCRIPTION AND DATE].
☐ I can provide information from a qualified health care professional if the disability or need is not readily apparent. Please tell me what specific information you need and how to submit it privately.
Under R608-1-17(A)(2)(a), a housing provider may verify the disability and the need for the animal if either is not readily apparent. Please identify any question about this request in writing so I can respond.
Preferred response: ☐ email ☐ mail ☐ telephone to arrange a private written response
Response contact: [________________________________]
Requested response date: [__/__/____]
Requester signature: ______________________________ Date: [__/__/____]
Delivery record
I delivered this request to [NAME OR OFFICE] by ☐ email ☐ mail ☐ hand delivery ☐ housing portal on [__/__/____].
Delivery confirmation or tracking: [________________________________]
Official sources
About this template
- Last updated
- October 29, 2026
- Citations checked
- October 29, 2026
- Jurisdiction
- Utah
- Category
- Landlord & Tenant
Legal authority
- Utah Code § 57-21-5(4)(b) (reasonable housing accommodations)
- Utah Admin. Code R608-1-17(A) (assistance animals and supporting information)
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 29, 2026.
Utah Code § 57-21-5(4)(b) (checked October 29, 2026): "a refusal to make a reasonable accommodation in a rule, policy, practice, or service"
Utah Admin. Code R608-1-17(A)(1) (checked October 29, 2026): "may include or otherwise be referred to as service animals, emotional support animals, assistive animals, or therapy animals"
Utah Admin. Code R608-1-17(A)(2) (checked October 29, 2026): "This requires a demonstrable relationship between the individual's disability and the assistance the animal provides."
Utah Admin. Code R608-1-17(A)(2)(a) (checked October 29, 2026): "the need for the assistance animal as an accommodation for that disability if either is not readily apparent"
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