Request for Reasonable Modifications, Auxiliary Aids and Services, or Barrier Removal

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Members of the public who desire a modification to a City of Chandler program, policy, service, or facility or require auxiliary aids or services or barrier removal to provide an equitable opportunity for an individual with a disability to participate may make such a request directly to the city department responsible for the program, service, or facility involved or to the city's ADA Coordinator.

A request for reasonable modification, auxiliary aids and services, or barrier removal may be made by letter, e-mail, phone call, or by using this form. If you need assistance or have questions about this form, please contact ADA Coordinator at 480-782-3402 or 7-1-1 via AZ Relay Service (AZRS).

My disability impairs my ability to fully participate in the program/activity in the following way

(check all that apply and/or describe)
Request Acknowledgment

I understand that my request will be reviewed and I may be requested to provide additional information before it is processed. I also understand that the City will make every effort to act on my request before the start of a program or activity but delays are possible, particularly when a request is made fewer than two weeks in advance.

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Requesters with complaints about the decision should see the City of Chandler ADA Grievance Policy.

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