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Accessible Information Request Form

  1. Name of person filing request
  2. Street address
  3. e.g. apartment number, suite number
  4. Is this form being completed by an employee on behalf of the requester?
  5. e.g. low vision, difficulty reading/understanding content, hearing loss, uses wheelchair
  6. e.g. Board of Supervisors agenda for 3/20/2018
  7. e.g. Word document, described over phone
  8. Other ways to request accessible information
    Users who need accessibility assistance can also contact us by phone through the Federal Information Relay Service at 1-800-877-8339 for TTY/Voice communication. If you would like to email a specific department, please find contact information in our staff directory.
  9. Leave This Blank:

  10. This field is not part of the form submission.