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Request for Reasonable Accommodation or Modification
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The City of Irving is committed to compliance with the Americans with Disabilities Act (ADA) in all aspects of providing equal access to all city-sponsored programs and events and does not discriminate on the basis of disability in the city’s services, programs or activities. This form may be used to request a reasonable modification to the accessibility of a city program, service or facility. Please submit the form no later than 48 hours before the event for which an accessibility modification is needed.
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I require Texas Relay Service 711 (TTY)
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Program, service or event for the request
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Location of program, service or event
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Date of program, service or event
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Date of program, service or event
I am requesting the following accommodation or modification:
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Wheelchair Access
Sign Language Interpretation Services
Printed Material in Alternate Format
Modification of Policy or Procedures
Other
Other Description
Please provide any additional details necessary to process this request:
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If you do not want to send an electronic request, contact the ADA Coordinator’s Office at (972) 721-2785, or submit the information in writing via US Postal Service to the City of Irving ADA Coordinator, CIP Department, 825 W. Irving Blvd., Irving, TX 75060.
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