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Request for Accommodation

So that we can best respond to your message, please fill in as much of the following information as possible:

* Required

* Description of accommodation requested

 

I hereby request the above accommodation and affirm that I am a qualified individual with a disability pursuant to the Americans with Disabilities Act

 


(If applicant is under 18 years of age)  

NOTE: Certification of disability from your physician may also be required.

Before you submit this e-mail form, we would like you to be aware of the City's policy on the use of its e-mail systems. The policy states that the e-mail message you are about to send: (1) is subject to public disclosure under the Public Records Law, (2) is not private or confidential and (3) is retained for 90 days.


 

In Person:

Equal Opportunity Department
Calvin C. Goode Building
251 W. Washington St., 7th Floor
Phoenix, AZ 85003
Get Directions

City business hours are 8 a.m. to 5 p.m., Monday through Friday, except for major holidays.

By Phone:

602-262-7716
602-534-1124 (FAX)
602-534-1557 (TTY)

Hours are 8 a.m. to 5 p.m., Monday through Friday, except for major holidays.