Tenants & Residents Verification of Reasonable Accommodation

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Haynesville Housing Authority
www.haynesvillehousing.org
Office: 318.624.1272
1953 Mill Street • PO Box 751 • Haynesville, LA 71038
Monday - Thursday 8:00 am - 6:00 pm

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