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Click ‘Get Form’ to open the ct disabilities form in the editor.
Begin by entering your name and telephone number in the designated fields. This information is crucial for communication regarding your accommodation request.
Fill in the date(s) when you need the accommodation, along with your complete address including street, town, state, and zip code.
If known, provide the case name or docket number and specify the location where you require accommodation.
Indicate your role in the case (Juror, Defendant, Plaintiff, Witness, or Other) and select the type of case (Civil, Criminal, Family, Juvenile, or Other).
In Section I, describe the nature of your disability that necessitates an accommodation. Be clear and concise.
Section II requires you to explain how your disability affects a major life activity. This helps clarify your needs.
Suggest reasonable accommodations in Section III that would assist you during court proceedings.
Use Section IV for any special requests or additional comments that may support your application.
Finally, date and sign the form before submitting it to the ADA contact person at your court location.
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