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Accommodation Request Form (Auxiliary Aid - Broward County

Accommodation Request Form (Auxiliary Aid - Broward County 2025

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The document is an Accommodation Request Form for Broward County, designed for individuals with disabilities seeking access to County programs, services, activities, or facilities. It outlines the necessary information required from the requester, including personal details and specific accommodation requests such as wheelchair access or sign language interpretation. The form emphasizes non-discrimination based on disability and provides contact information for further inquiries.

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Click ‘Get Form’ to open the Accommodation Request Form in the editor.
Begin by entering your name in the designated field at the top of the form. This identifies you as the requester.
Provide your telephone number or TTY in the next field, ensuring that you can be contacted regarding your request.
Fill in your address to help locate you and facilitate communication.
Enter today's date to indicate when you are submitting this request.
Specify the program or facility for which you are requesting accommodations by filling in the relevant details.
Select the type of accommodation(s) needed from the provided options, such as wheelchair access or sign language interpretation.
In the additional details section, provide any further information that may assist in processing your request effectively.
Finally, ensure all fields are completed accurately before submitting your form via email to the appropriate department listed at the bottom.

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How to fill out ADA request form?

Sample Accommodation Request Letter Identify yourself as a person with a disability. State that you are requesting accommodations under the ADA (or the Rehabilitation Act of 1973 if you are a federal employee) Identify your specific problematic job tasks. Identify your accommodation ideas.

What are examples of ADA accommodations?

A detailed, comprehensive written report from your treating professional describing your disability and its impact on your daily functioning. The report should also explain the need for the requested accommodations relative to your impairment.

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