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ADA Acommodation Request Form

You can download the ADA Accommodation Request Form at the bottom of this page. The instructions written below can also be found on the form. 

If you need assistance completing a Reasonable Accommodation Request Form, or would like to submit your request in another format, please contact Program Support Specialist Mandi Hood at 503-823-5149 or mandi.hood@portlandoregon.gov.

 

To request an accommodation that would allow you to reasonably access and benefit from City of Portland programs, services and activities, please complete this form. An accommodation may include:

1.     A change/modification in the rules, policies, or procedures that would make it easier for you to take part in programs.

2.     A change in the way we provide services, communicate with you, or provide you with information, including but not limited to providing appropriate auxiliary aids, services, qualified sign language interpreters, assistance, or other alternate communication formats.

 

Please mail, email, fax, or deliver this form to:

Program Support Specialist Mandi Hood

Email: mandi.hood@portlandoregon.gov

Phone: 503-823-4159

Oregon Relay Service 711

 

Mailing Address:         525 NE Oregon Street, Suite 250

       Portland, OR 97232

 

The City of Portland will not place a surcharge on an individual with a disability or any group of individuals with disabilities to cover the cost of providing auxiliary aids/services or for the reasonable modifications of policy.

The ADA does not require The City of Portland to take any action that would fundamentally alter the nature of its programs or services, or impose an undue financial or administrative burden.

Library categories: 

Get in touch with us

Email the COCL Team: rosenbaumandassociatesllp@gmail.com

Tel: 503-319-7736

Address:

525 NE Oregon Street, Suite 250

Portland, OR 97232

 

Accessibility

To help ensure equal access to our programs, services, and activities, the Compliance Officer/Community Liaison (COCL) team will reasonably modify policies/procedures and provide auxiliary aids/services to persons with disabilities. If there are ways we can help you more fully participate in this process, please contact Mandi Hood at 503-823-5149 or mandi.hood@portlandoregon.gov.

To learn more about submitting an ADA Accommodation form, click here.

To access documents in audio format, click here

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