Accessibility Accommodation Public Request

In accordance with Title II of the Americans with Disabilities Act, the DPI will give primary consideration to the type of aid or service requested and will honor that choice unless another equally effective means of communication is available or unless the aid or service requested would result in an undue financial and administrative burden.

Your request will be reviewed and responded as soon as possible. Thank you.

This accessibility request form is intended for use with both current documents and video resources.

Your Contact Information

Your First and Last Name

Enter your first and last name

Phone Number

Enter your phone number

Enter your email address

Fill Your Request

What accessibility accommodation is needed?

Please select the accommodation you are requesting from the dropdown list.

Visual Accessibility

Issues accessing document with my screen reader software

Issues accessing document visually

Needs access to document in an alternate format

Who is the intended audience?

Please select the most appropriate choice from the dropdown below.

What needs to be made accessible?

Enter the URL and describe what services are needed.

Other Accommodation

Please describe the accommodation you are requesting.