Request Forms

ELECTRONIC FORMAT:
The following forms are formatted for you to complete and submit electronically:
PDF FORMAT:
The PDF forms provided below are the same forms as above in a format to be printed and manually completed. Please submit the manually completed forms to the ADA Coordinator’s office


ALTERNATE FORMAT:
A person may ask the ADA Coordinator's office for forms and information in an alternate format if needed due to their disability.

 
Additional Department Information

Accessibility/ADA Department Contacts

411 W. 8th Street
Medford, OR 97501
Phone: (541) 774-2074
Fax: (541) 618-1703
Contact: Accessibility/ADA Coordinator
Email:

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