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ADA Accommodation & Facility Access Request Form

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Please use the form below to submit a request for a modification to policies or procedures in order to equally participate in City of San Angelo programs, services or activities or to request potential modifications to City facilities. Requests for accommodations can also be made by calling the ADA coordinator at 325-650-1814.

The City will make all reasonable modifications to policies and procedures to ensure that individuals with qualified disabilities have an equal opportunity to enjoy all City programs, services or activities. 

The City has the right, on a case-by-case basis, to determine whether a request is reasonable and whether the accommodation can be provided without jeopardizing the safe operation of the program, service or activity. 

The City shall not be required to make any modification that fundamentally alters the nature of the program, service or activity, or would result in undue administrative or financial burdens, as determined by the head of the department offering the program, service or activity. 

Requests for accommodation should be submitted as far in advance as possible.

Please correct the fields below:

1
Today's date:
 *
2
Contact information
 *
Contact information
3
Preferred contact method
 *
Preferred contact method
4
Type of request (Select all that apply)
 *
Type of request (Select all that apply)
5
Name or address of facility for which the accommodation is being requested.
 *
6
Name of program, service or activity for which the accommodation is being requested.
7
City department that is offering the program, service or activity (if applicable).
8
Date of program, service or activity:
9
If the request is for a curb, ramp or sidewalk, then please list the nearest intersecting street.
10
Specify the reason(s) you are requesting an accommodation (select all that apply):
 *
Specify the reason(s) you are requesting an accommodation (select all that apply):
11
 Describe the specific accommodation(s) you are requesting and how this will assist you.
 *
This online submission are sent directly to the City of San Angelo's ADA coordinator and the city attorney for review.
  1. To receive a copy of your submission, please fill out your email address below and submit.

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