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CLEARFIELD CITY VISITORS/PARTICIPANTS REQUEST FOR DISABILITY ACCOMMODATION FORM AMERICANS WITH DISABILITIES ACT/SECTION 504 OF THE REHABILITATION ACT Name: ___ Home Address: ___ City, State, Zip:
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How to fill out ada-accommodation-request-form

01
Obtain a copy of the ADA accommodation request form from the appropriate entity.
02
Fill out the personal information section, including your name, contact information, and any other required details.
03
Clearly state the accommodation you are requesting and the reasons why you need it.
04
Provide any supporting documentation or medical records that may be necessary to support your request.
05
Submit the completed form to the designated individual or department as specified on the form.

Who needs ada-accommodation-request-form?

01
Individuals who have a disability and require accommodations in order to access services, programs, or facilities covered by the Americans with Disabilities Act (ADA) may need to fill out an ADA accommodation request form.
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The ada-accommodation-request-form is a form used to request accommodations under the Americans with Disabilities Act (ADA).
Individuals who require accommodations due to a disability are required to file the ada-accommodation-request-form.
To fill out the ada-accommodation-request-form, individuals must provide information about their disability, the requested accommodations, and any supporting documentation.
The purpose of the ada-accommodation-request-form is to ensure that individuals with disabilities have equal access to programs, services, and activities.
The ada-accommodation-request-form requires information about the individual's disability, requested accommodations, and any supporting documentation.
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