Vermont Assistance-Animal Housing Accommodation Request
VERMONT ASSISTANCE-ANIMAL HOUSING ACCOMMODATION REQUEST
Date: [__/__/____]
To housing provider or association: [NAME AND DELIVERY ADDRESS]
From applicant or resident: [FULL NAME]
Dwelling or application: [STREET ADDRESS, UNIT, CITY, VERMONT ZIP]
Private response contact: [ADDRESS OR EMAIL]
Request
I request a reasonable accommodation to keep the assistance animal described below at this dwelling. The animal helps address a disability-related need and helps me use and enjoy the home. Please consider an exception to the housing rule identified below under 9 V.S.A. § 4503(a)(10), and respond in writing.
Animal name, species, and description: [________________________________]
Rule, restriction, or charge for which an exception is requested: [________________________________]
Requested accommodation:
☐ Allow this assistance animal despite an animal restriction.
☐ Do not apply a pet deposit to this assistance animal, consistent with the Vermont Human Rights Commission's housing guidance.
☐ Other requested change: [________________________________].
How the animal helps with the disability-related need, without a diagnosis:
[____________________________________________________________]
Information to evaluate the request
☐ The disability and the animal's related assistance are apparent. Please evaluate the request using the information available.
☐ I enclose information confirming that I have a disability and that this animal helps address a disability-related need. Enclosure: [DESCRIPTION].
☐ Please tell me privately what additional information you need to evaluate the disability-related need. I can provide appropriate supporting information through [PRIVATE CONTACT METHOD].
The Vermont Human Rights Commission explains that a provider may seek additional information when the disability or its connection to the animal is unclear. Please identify any particular question without requesting a diagnosis or private medical records.
Preferred response method: ☐ email ☐ mail ☐ telephone to arrange a written response
Applicant or resident signature: ______________________________ Date: [__/__/____]
Delivery record
Delivered to [NAME OR OFFICE] by ☐ email ☐ mail ☐ hand delivery ☐ housing portal on [__/__/____].
Delivery confirmation: [________________________________]
Official sources
About this template
- Last updated
- November 2, 2026
- Citations checked
- November 2, 2026
- Jurisdiction
- Vermont
- Category
- Landlord & Tenant
Legal authority
- 9 V.S.A. § 4503(a)(9)-(10) (housing aids and reasonable accommodations)
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.
9 V.S.A. § 4503(a)(9) (checked November 2, 2026): "To discriminate in the sale or rental of a dwelling because a person relies upon aids such as attendants, specially trained animals, wheelchairs, or similar appliances or devices"
9 V.S.A. § 4503(a)(10) (checked November 2, 2026): "To refuse to make reasonable accommodations in rules, policies, practices, or services when such accommodations may be necessary to afford a person with a disability equal opportunity to use and enjoy a dwelling unit, including public and common areas."
Vermont Human Rights Commission, Assistance Animals and Fair Housing (checked November 2, 2026): "An assistance animal does work, performs tasks, assists, and/or provides therapeutic emotional support for individuals with disabilities. Assistance animals are not pets."
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