ADA Accommodations Request Form - The Louisiana Supreme Court - lasc 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name in the 'APPLICANT (name)' field. This identifies you as the individual requesting accommodations.
3. Select your status by checking the appropriate box: Employee, Visitor, Attorney, Job Applicant, or Other. If you select 'Other', please specify.
4. If someone else is submitting the request on your behalf, fill in their name in the 'Person submitting request' section.
5. Provide your address and telephone number in the designated fields to ensure proper communication regarding your request.
6. Detail the accommodations you are requesting by filling out items 1 through 6. Be specific about the proceedings covered, dates needed, impairment details, and how these accommodations will assist you.
7. Finally, type or print your name, sign the form, and date it to validate your request before submission.

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