Accommodation Request Form

Accommodation Request
This is the online form to ask for an ADA accommodation. If you prefer to make an oral request, please call (360) 407-2700 or (800) 583-8271. TTY (hearing impaired) users please dial 7-1-1 or 1-800-833-6388 for the Washington relay operator.
Do not use this form to request a hearing.
Date of Request
Month - Day - Year
Name

First Name
Last Name

Address

Email
Phone
Area CodePhone Number
You must give us an address, email or phone number in order to receive a response.
Docket Number(s)
Select Type of Request
To access a facility
To participate in a hearing
Please tell us how we can modify our services or facilities to meet your needs.
Please be specific about what you need to easily approach, enter, operate, participate in, or use our facilities and services. Please include what accommodations have worked for you in the past. If you have more information, please submit it.