_______________________ Date _____________________ Landlord's Name _____________________ Address ______________________ City, State, Zip Code Dear _________________: Landlord's Name Please be advised that the Federal Fair Housing Law as amended in 1988 precludes landlords from discriminating against tenants that are handicapped. Refusing to rent to persons with a handicap or providing persons with a handicap with different services, different access to use of the premises, or charging more rent based on the person being disabled, all are prohibited. The Federal Fair Housing Law permits me to modify the unit and accessibility to the building at my own expense if it is necessary for me to be able to rent there. The property owner cannot refuse me the right to modify the premises. I feel that my rights under the Federal Fair Housing Law have been violated by:__________________________________________ (describe action you feel is a violation ________________________________________________________________. of the Fair Housing Law) If this situation cannot be resolved I will be forced to seek appropriate legal remedies to this situation. Thank you in advance for your attention to this matter. Sincerely, ______________________ Tenant's Signature _______________________ Address ________________________ City, State, Zip Code FL 8.3 REQUEST TO MAKE MODIFY/DISABILITY cc: copy retained for my records