Get the free Accessibility Modification Request Form - GoDurham

Accessibility Modification Request Form The City of Durham does not discriminate on the basis of disability in the City\'s services, programs or activities. This form may be used by a private citizen

How to fill out accessibility modification request form

How to fill out accessibility modification request form

1. Obtain the accessibility modification request form from the relevant authority or department.
2. Read the instructions and requirements carefully before filling out the form.
3. Provide your personal information, such as name, contact details, and any identification numbers required.
4. Clearly specify the accessibility modifications you are requesting in detail.
5. Attach any supporting documents or proof that may be required, such as medical certificates or expert opinions.
6. Sign and date the form to indicate your agreement with the terms and conditions.
7. Submit the completed form to the designated authority or department either in person or through the specified method (e.g., email or mail).
8. Keep a copy of the filled-out form and any related documents for your records.

Who needs accessibility modification request form?

1. Anyone who requires accessibility modifications to be made, whether it is for public facilities, transportation, housing, or any other aspect of daily life.
2. This form is typically used by individuals with disabilities or those advocating for accessibility improvements on behalf of someone with a disability.
3. Organizations or businesses providing services or facilities may also need this form to address accessibility concerns raised by their customers or visitors.

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