West Virginia Assistance-Animal Housing Accommodation Request
WEST VIRGINIA ASSISTANCE-ANIMAL HOUSING ACCOMMODATION REQUEST
Date: [__/__/____]
To housing provider or manager: [NAME AND ADDRESS]
From tenant or applicant: [FULL NAME]
Dwelling: [STREET ADDRESS, UNIT, CITY, WEST VIRGINIA ZIP]
Contact for a private response: [EMAIL OR MAILING ADDRESS]
Request
I request a reasonable accommodation under W. Va. Code § 16B-18-5(f)(3)(B) and (10) to keep the assistance animal described below at the dwelling. The animal provides disability-related assistance or emotional support that helps me use and enjoy the home. Please evaluate this request individually and respond in writing.
Animal name, species, and description: [________________________________]
Housing rule, charge, or condition affected: [________________________________]
Requested change (select all that apply):
☐ Allow this animal despite a no-animal or pet restriction.
☐ Waive an animal-related pet fee, deposit, or pet condition for this accommodation under § 16B-18-5(f)(10)(D).
☐ Change this other rule or practice: [________________________________].
Brief description of the animal's disability-related help or emotional support, without a diagnosis:
[____________________________________________________________]
Supporting information
☐ I enclose documentation from a professional treatment provider addressing the disability-related need for this animal. Enclosure: [DOCUMENT DESCRIPTION].
☐ I can provide appropriate documentation from a professional treatment provider if it is needed to evaluate this request. Please tell me what information you need and how to submit it privately.
Under § 16B-18-5(f)(10)(A), documentation may address the animal's disability-related assistance or emotional support. I ask that you evaluate the information provided without requesting medical records, provider access, or detailed information about my impairments, which subsection (10)(A)(ii) does not require me to provide.
If you have a concern about the specific animal's conduct, please identify it so we can discuss a workable solution. The statute calls for an individualized assessment based on objective evidence of the animal's actual conduct when evaluating a direct-threat or substantial-property-damage concern. § 16B-18-5(f)(10)(B)-(C).
Please respond without unreasonable delay and without conditioning this accommodation on a pet fee or deposit. § 16B-18-5(f)(10)(D).
Preferred response method: ☐ email ☐ mail ☐ telephone to arrange a private written response
Email, mailing address, or telephone: [________________________________]
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 reference
About this template
- Last updated
- October 28, 2026
- Citations checked
- October 28, 2026
- Jurisdiction
- West Virginia
- Category
- Landlord & Tenant
Legal authority
- W. Va. Code § 16B-18-5(f)(3)(B), (10)
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 28, 2026.
W. Va. Code § 16B-18-5(f)(3)(B) (checked October 28, 2026): "A refusal to make reasonable accommodations in rules, policies, practices or services when the accommodations may be necessary to afford the person equal opportunity to use and enjoy a dwelling"
W. Va. Code § 16B-18-5(f)(10)(A)(i) (checked October 28, 2026): "Such documentation is sufficient if it establishes that the assistance animal will provide some type of disability-related assistance or emotional support."
W. Va. Code § 16B-18-5(f)(10)(A)(ii) (checked October 28, 2026): "A person with a disability may not be required to submit or provide access to medical records or medical providers"
W. Va. Code § 16B-18-5(f)(10)(C) (checked October 28, 2026): "individualized assessment that relies on objective evidence about the specific animal's actual conduct."
Draft your West Virginia 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.