Dixon, CA · Solano County

No notary required

Accessibility Hardship Request Form

This worksheet helps owners and applicants document accessibility path-of-travel costs for alterations to existing commercial or public accommodation buildings in Dixon.

What this form is

Use this worksheet for alterations, structural repairs, or additions to existing commercial or public accommodation buildings when documenting accessibility path-of-travel obligations. It asks for project and construction cost details, prior alteration costs, proposed accessibility improvements, and related cost analysis. Depending on the costs and project circumstances, the form calls for construction documents showing compliance or proposed improvements.

Who needs it

Owners, applicants, or designers working on alterations, structural repairs, or additions to existing commercial or public accommodation buildings may need this worksheet.

How to submit it

The form lists Building Info and [email protected], along with the City of Dixon address at 600 East A St., Dixon, CA 95620-3697. It says the Building Division reviews and approves the cost table.

About notarization

This document is signed without a notary; it includes a signature line and date field, and does not describe any attachment or related step as notarized or sworn.

How to submit this form

  1. 1

    Download The Worksheet

    Download the Accessibility Hardship Request worksheet.

  2. 2

    Complete The Project Details

    Enter the job address, project information, construction costs, and proposed accessibility improvements.

  3. 3

    Gather Construction Documents

    Include construction documents and the cost analysis described for your project circumstances.

  4. 4

    Submit To The City

    Use the Building Info contact or address listed on the form; the Building Division reviews and approves the cost table.

Frequently asked questions

What is the Accessibility Hardship Request Form for?
It documents path-of-travel accessibility obligations and proposed improvements for alterations, structural repairs, or additions to existing commercial or public accommodation buildings.
What information does the worksheet ask for?
It asks for project and construction cost information, costs of recent alterations, proposed accessibility improvements, and an itemized cost analysis.
Do I need a notary for the Accessibility Hardship Request Form?
No. The document is signed without a notary and includes a signature line and date field; it does not identify any attachment or related step as notarized or sworn.
How do I submit the Accessibility Hardship Request Form?
The form lists Building Info and [email protected], as well as the City's address at 600 East A St., Dixon, CA 95620-3697.

Need something notarized?

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