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Verification of Reasonable Accommodation

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Housing Authority of South Bend
Phone: 574.235.9346 • Fax: 574.544.5165
501 Alonzo Watson Dr. • South Bend, IN 46601
Monday-Friday 8:00 am-4:30 pm

Note: The fields at the bottom of this form marked "For HASB Use Only" should not be completed when submitting this form.

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