The Portland Housing Bureau requires Applicants be allowed an opportunity to disclose a mobility or other disability.
This is voluntary.
The following forms are required to be
included with this form by the City of Portland, OR
Right to Request a
Modification or Accommodation Notice
Required Under Portland City Code Title
30.01.086.C.3.B
For residentil rental units within Portlnd city limits, a landlord is required to include this notice with
application forms for the rental of a dwelling unit.
State and federal laws, including the Fair Housing Act , make it illegal for housing providers to
refuse to make reasonable accommodations and reasonable modifications for
individuals with disabilities. All persons with a disability have a right to request and be provided a
reasonable accommodation or modification at any time, from application through to termination/eviction.
Some examples of reasonable accommodations include:
Assigning an accessible parking space
Transferring a tenant to a ground-floor unit
Changing the rent payment schedule to accommodate when an individual receives public benefits
Allowing an applicant to submit a housing application via a different means
Allowing an assistance animal in a "no pets" building. More information about assistance animals is
available here:
https://www.hud.gov/program_offices/fair_housing_equal_opp/assistance_animals
Some examples of reasonable modification include:
Adding a grab bar to a tenant's bathroom
Installing visual smoke alarm systems
Installing a ramp to the front door
Under fair housing laws, a person with a disability is someone:
With a physical or mental impairment that substantially limits one or more major life activities of the
individual;
With a record of having a physical or mental impairment that substantially limits one or more major life
activities of the individual;or
Who is regarded as having a physical or mental impairment that substantially limits one or more major life
activities.
Major life activities include, but are not limited to seeing, walking, reaching, lifting, hearing, speaking,
interacting with others, concentrating, learning, and caring for oneself.
Email: RentalServices@portlandoregon.gov
Portland City Code 30.01.086.C.3.B
V:2.0 VED: 3Jan2022
Page 1 of 4
Reasonable Accommodations
A reasonable accommodation is a change or exception to a rule, policy, practice, or service that may be
necessary for a person with a disability to have an equal opportunity to use and enjoy a dwelling. This
includes public use and common spaces or fulfilling their program obligations. Any change in the way things
are customarily done that allows a person with a disability to enjoy housing opportunities or to meet
program requirements is a reasonable accommodation.
All housing or programs are required to make reasonable accommodations. Housing providers may not require
persons with disabilities to pay extra fees or deposits or any other special requirements as a condition of
receiving a reasonable accommodation.
Reasonable Modifications
A reasonable modification is a structural change made to the premises in order to afford an individual with a
disability full enjoyment of the premises. Reasonable modifications can include structural changes to
interiors and exteriors of dwellings and to public use and common areas.
Under federal law, public housing agencies, other federally assisted housing providers, and state or local
government entities are required to provide and pay for structural modifications as reasonable
accommodations/modifications. For private housing, the person requesting the reasonable modification will
need to cover the costs of the modification.
Verification of Disability
In response to an accommodation or modification request and only when it is necessary to verify that a person
has a disability that is not known or apparent to the housing provider, they, can ask an applicant/tenant to
provide documentation from a qualified third party (professional), that the applicant or tenant has a
disability that results in one or more functional limitation. If the disability-related need for the
requested accommodation or modification is not known or obvious, the housing provider can request
documentation stating that the requested accommodation or modification is necessary because of the
disability, and that it will allow the applicant/tenant access to the unit and any amenities or services
included with the rental equally to other tenants.
A housing provider cannot inquire into the nature or extent of a known or apparent disability or require that
an applicant or tenant release his or her medical records. Housing providers can require that the
verification come from a qualified professional, but they cannot require that it be a medical doctor.
Nondiscrimination laws cover applicants and tenants with disabilities, as well as applicants and tenants and
without disabilities who live or are associated with individuals with disabilities. These laws also prohibit
housing providers from refusing
Email: RentalServices@portlandoregon.gov
Portland City Code 30.01.086.C.3.B
V:2.0 VED: 3Jan2022
Page 2 of 4
to rent to persons with disabilities, making discriminatory statements, and treating persons with
disabilities less favorably than other tenants because of their disability.
Under fair housing laws, it is illegal for a housing provider to deny reasonable accommodations and
reasonable modifications to individuals with disabilities. If wrongfully denied an accommodation or
modification contact HUD or the Fair Housing Council of Oregon. Time limits apply to asserting any legal
claims for discrimination.
Call HUD toll-free at 1-800-669-9777 or TTY 1-800-927-9275 or visit
https://www.hud.gov/program_offices/fair_housing_equal_opp/complaint-process
HUD will investigate at no cost to the complainant.
For more information about reasonable accommodations and modifications visit
www.hud.gov/program_offices/fair_housing_equal_opp/reasonable_accommodations_an d_modifications
Call the Fair Housing Council of Oregon at (503) 223-8197 ext. 2 or
http://fhco.org/index.php/report-discrimination .
Email: RentalServices@portlandoregon.gov
Portland City Code 30.01.086.C.3.B
V:2.0 VED: 3Jan2022
Page 3 of 4
If you believe you have been harassed or discriminated against because of
your race, color, national origin, religion, gender, familial status, disability, marital status, source
of income, sexual orientation including gender identity, domestic violence, type of occupation, or
age over 18 seek legal guidance regarding your rights under Fair Housing law.
For translation or interpretation, please call 503-823-1303 TTY at
503-823-6868 or Oregon Relay Service at 711
503-823-1303: Traducción e interpretación | Chuyển Ngữ hoặc Phiên Dịch |
翻译或传译
Письменныйили устный перевод | 翻訳または通訳| Traducere sau Interpretare
번역 및 통역 | Письмовий або усний переклад | Turjumida ama Fasiraadda
ةيوفشلاو ةيريرحتلا ةمجتر لا | ການແປພາສາ ຫຼື ການອະທິ ບາຍ
This requirement is in addition to any other rights and responsibilities set forth in the Oregon Residential
Landlord and Tenant Act under Oregon Revised Statute Chapter 90, and Portland Landlord-Tenant Law under
Portland City Code Title 30.
The information in this form is for educational purposes only. You
should review appropriate state statute, city code, and administrative rule as necessary. If you need
legal guidance, or are considering taking legal action, you should contact an attorney.
Email: RentalServices@portlandoregon.gov
Portland City Code 30.01.086.C.3.B
V:2.0 VED: 3Jan2022
Page 4 of 4
Statement of Applicant Rights and Responsibilities
Notice
Required Under Portland City Code Title
30.01.086.C.3.C
Within the City of Portland, a landlord is required to include this notice with application forms for the
rental of a dwelling unit.
City of Portland Applicant Rights
The City of Portland has adopted local requirements that provide additional rights and responsibilities for
landlords and applicants for rental housing, beyond state law requirements, during the rental unit
advertising and application process.
Applicants are strongly encouraged to submit supplemental information to offset any reasons that could lead
to denial. In the event of denial, applicants have the right to appeal the decision within 30 days.
Applicants are strongly encouraged to
review their rights before submitting an application.
City requirements address the following landlord tenant topics: advertising and application process
screening, security deposits, depreciation schedules, rental history, notice rights, and rights for
relocation assistance.
The City of Portland city code, rules, required notices and forms are listed below, and are available at: [portland.gov/rso ] or by contacting the Rental Services Office at
(503) 823-1303 or rentalservices@portlandoregon.gov .
Residential Rental Unit Registration
Portland City Code 7.02.890
Application and Screening Requirements
Portland City Code 30.01.086
Rental Housing Application and Screening Administrative Rule
Statement of Applicant Rights and Responsibilities Notice
Right to Request a Modification or Accommodation Notice
Rental Housing Application and Screening Minimum Income Requirement Table
Security Deposit Requirements
Portland City Code 30.01.087
Rental Housing Security Deposits Administrative Rule
Rental History Form
Notice of Rights under Portland’s Security Deposit Ordinance
Statement of Applicant Rights and Responsibilitiues
Notice 30.01.086.C.3.C (Valid through 12/31/2022)
Page 1 of 3
Mandatory Renter Relocation Assistance
Portland City Code 30.01.085
Mandatory Relocation Assistance Exemption Eligibility and Approval Process Administrative Rule
Tenant Notice of Rights and Responsibilities Associated with Portland Mandatory Relocation Assistance
Relocation Exemption Application Acknowledgement Letter (If applicable)
Statement of Applicant Rights and Responsibilitiues
Notice 30.01.086.C.3.C (Valid through 12/31/2022)
Page 2 of 3
If you believe you have been harassed or discriminated against because of
your race, color, national origin, religion, gender, familial status, disability, marital status, source
of income, sexual orientation including gender identity, domestic violence, type of occupation, or
age over 18 seek legal guidance regarding your rights under Fair Housing law.
For translation or interpretation, please call 503-823-1303 TTY at
503-823-6868 or Oregon Relay Service at 711
503-823-1303: Traducción e interpretación | Chuyển Ngữ hoặc Phiên Dịch |
翻译或传译
Письменныйили устный перевод | 翻訳または通訳| Traducere sau Interpretare
번역 및 통역 | Письмовий або усний переклад | Turjumida ama Fasiraadda
ةيوفشلاو ةيريرحتلا ةمجتر لا | ການແປພາສາ ຫຼື ການອະທິ ບາຍ
This requirement is in addition to any other rights and responsibilities set forth in the Oregon Residential
Landlord and Tenant Act under Oregon Revised Statute Chapter 90, and Portland Landlord-Tenant Law under
Portland City Code Title 30.
The information in this form is for educational purposes only. You
should review appropriate state statute, city code, and administrative rule as necessary. If you need
legal guidance, or are considering taking legal action, you should contact an attorney.
Statement of Applicant Rights and Responsibilitiues
Notice 30.01.086.C.3.C (Valid through 12/31/2022)
Page 3 of 3