What information does the form ask for?

It asks for the date, name, address, phone number, email address, and a specific description of the requested modification or accommodation.

Do I need a notary for the Reasonable Modification Request Form?

No. The form is completed without a notary and identifies no notarized attachment or sworn step.

Delano, CA · Kern County

No notary required

Reasonable Modification Request Form

Passengers use this form to request a reasonable modification or accommodation from DART and provide contact information and details about their request.

What this form is

This form lets passengers request a reasonable modification or accommodation from DART. The form says passengers may request modifications at any time and that DART will consider requests made during service when feasible; advance notice is encouraged when possible. It asks for the date, name, address, phone number, email, and details of the requested modification. DART staff complete the review section, and the form says the requester will be notified within two business days.

Who needs it

Passengers seeking a reasonable modification or accommodation from DART can use this form to describe their request and provide contact details.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This request is completed without a notary; it asks for the date and contact details, and identifies no notarized attachment or sworn step.

How to submit this form

1
Download the Form
Download the Reasonable Modification Request Form.
2
Complete the Request
Enter the date and your contact details, then describe the modification or accommodation you are requesting from DART.
3
Gather Attachments
The form does not identify any attachments to include.
4
Submit to the City
Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What is the Reasonable Modification Request Form for?: It lets passengers request a reasonable modification or accommodation from DART and provide details about what they are requesting.
What information does the form ask for?: It asks for the date, name, address, phone number, email address, and a specific description of the requested modification or accommodation.
Do I need a notary for the Reasonable Modification Request Form?: No. The form is completed without a notary and identifies no notarized attachment or sworn step.
How do I submit the Reasonable Modification Request Form?: Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Reasonable Modification Request Form doesn’t need a notary — but if you have another Delano form that does, a commissioned online notary can help.