ADA Accessibility Requests

This online form allows residents and businesses to submit accessibility requests related to a wide variety of issues, including curb ramps, sidewalk obstructions and access to buildings, facilities and programs. The form will be reviewed by the ADA Coordinator and a response will be provided via email. 

Please print a copy of this page before sending if you want to retain a copy of your form submittal. To print the page, use the "File" menu and choose "Print." The "print friendly" button will not print the form entries. 

Accessibility Request Form:

Please provide as much information about your accessibility request in the form as possible. The more complete the information, the better we can serve you. *=required field.

Type of accessibility or accommodation request: *
Choose primary issue from the list below. Describe additional issues at this location using the “Describe Problem” box.

 Curb Ramp
 Sidewalk
 Facility
 John M. Fleet Pool 
 Obstruction
 Trip Hazard
 Signage
 Signal
 Park Facilities
 Park/Youth Programs
 Gateway RV Park
 Recreation Center
 Other

Issue Location
Street Address: (enter none if unknown or not applicable): 
Describe Problem: 

Requestor Information
First Name: 
Last Name: 
Company Name (if applicable): 
Address: 
Suite/Apartment/Unit: 
City: 
State: 
Zip: 
Phone (standard format: XXX-XXX-XXXX): 
E-mail: