Morgan, GA · Calhoun County
ADA Request for Accommodation
This form lets an individual request an accommodation or barrier removal from the Morgan County Disability Access Office.
What this form is
Use this form to request an accommodation or report a barrier for removal. It asks for the reporting individual’s contact details, the accommodation needed or barrier location, why it is needed, and the date needed. If someone else needs the accommodation, the form also asks for that person’s contact information and includes signature and Planning and Development representative fields.
Who needs it
An individual requesting an accommodation or barrier removal, or someone completing the request for the person who needs it, can use this form.
How to submit it
The form lists the Morgan County Disability Access Office at P.O. Box 1357, 150 East Washington Street, Suite 200, Madison, Georgia 30650, and provides a fax number.
About notarization
This document is signed and dated without a notary; it lists no notarized or sworn attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download The Form
Download the ADA Request for Accommodation PDF.
- 2
Complete The Request
Enter the reporting individual’s details and describe the accommodation needed or barrier to be removed.
- 3
Add Other Person’s Details
If someone else needs the accommodation, complete the fields for that person’s contact information.
- 4
Sign And Submit
Sign and date the form, then send it to the Disability Access Office using the address or fax number listed.
Frequently asked questions
- What does the ADA Request for Accommodation form ask for?
- It requests contact information, the accommodation needed or barrier location, why it is needed, and the date it is needed.
- Who can complete this accommodation request?
- The reporting individual can complete it. If the person needing accommodation is someone else, the form has fields for that person’s contact information.
- Do I need a notary for an ADA Request for Accommodation?
- No. The form has a signature and date field but no notary block or notarized attachment; the signer just signs and dates it.
- How do I submit the ADA Request for Accommodation?
- The form lists the Morgan County Disability Access Office mailing address in Madison and a fax number. Use the contact details printed on the form.
Need something notarized?
This ADA Request for Accommodation doesn’t need a notary — but if you have another Morgan form that does, a commissioned online notary can help.