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Coloradodoc form 100 42a

Coloradodoc form 100 42a 2026

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The document is a Visitor Request for Accommodation form from the Colorado Department of Corrections, designed to ensure compliance with the Americans with Disabilities Act (ADA). It allows individuals with disabilities to request necessary accommodations for their visits to DOC facilities. Visitors must submit the form at least seven business days in advance and provide details about their limitations and specific accommodation needs.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out the Visitor Information section. Enter your Name, Phone, Mailing Address, Email, Facility/office & Area, and Purpose of visit. Ensure all details are accurate for a smooth process.
In the Physical/Mental Limitation section, describe any limitations that necessitate an accommodation. Be thorough in detailing any anticipated accessibility concerns to assist in evaluating your request.
Next, specify the Accommodation/Modification Requested. Include dates, times, and locations where you will need accommodations. This clarity helps ensure your needs are met effectively.
Finally, sign the form to attest that the information provided is true. Remember to include the date of signing for record purposes.

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