Brawley, CA · Imperial County
Request for Accommodation
Participants or guardians use this form to request an accommodation for a City of Brawley program or activity.
What this form is
This form lets a participant or guardian ask the City of Brawley for an accommodation in a city program or activity. The city asks that requests be submitted at least 10 business days before the program starts. It collects participant and guardian contact details, the program, requested accommodation and reason, and whether a one-on-one aide or Regional Center services are used.
Who needs it
A participant or guardian seeking an accommodation for a City of Brawley program or activity should complete this form.
How to submit it
Return the completed form to the Parks and Recreation Department, 225 A Street, Brawley, CA 92227. The form lists 760-344-5675 for contact.
About notarization
This request is signed and dated without a notary; the form does not require a notarized or sworn attachment.
How to submit this form
- 1
Download the Form
Download the Request for Accommodation form.
- 2
Complete the Request
Provide participant and guardian details, identify the program, describe the requested accommodation and reason, and answer the aide and Regional Center questions.
- 3
Review Supporting Information
The form does not list required attachments. It says private medical records detailing the disability are not required.
- 4
Submit to the City
Return the completed form to Parks and Recreation at 225 A Street, Brawley, CA 92227.
Frequently asked questions
- What is the Request for Accommodation form for?
- It lets a participant or guardian request an accommodation for a City of Brawley program or activity and explain what is needed and why.
- When should I submit the accommodation request?
- The form asks you to submit the request at least 10 business days before the program's start date.
- Do I need a notary for the Request for Accommodation?
- No. The form is signed and dated without a notary, and it does not require a notarized or sworn attachment.
- How do I submit the Request for Accommodation?
- Return the completed form to the Parks and Recreation Department at 225 A Street, Brawley, CA 92227. The form lists 760-344-5675 for contact.
Need something notarized?
This Request for Accommodation doesn’t need a notary — but if you have another Brawley form that does, a commissioned online notary can help.