What does the ADA Accommodation Request Form ask for?

It asks for the requestor’s name and court role, contact details, the accommodation needed, and when and where the accommodation is requested.

Who can submit an accommodation request?

The form is for a person who needs an accommodation to participate in court. It also asks for a contact person if someone else is completing or assisting with the request.

Do I need a notary for the ADA Accommodation Request Form?

No. The form has no notary block and states no notarized attachment or sworn step.

How do I submit the ADA Accommodation Request Form?

The form says you may submit the request to any court personnel and encourages submitting it to the Court Disability Coordinator.

St. Clair County, IL · St. Clair County

No notary required

Americans With Disabilities Act Accommodation Request Form For Illinois Courts

People with disabilities or someone contacting the court on their behalf use this form to request accommodations for participating in court.

At a glance

Issued by: City of St. Clair County · St. Clair County, St. Clair County, Illinois
Notarization: Not required: file this form without a notary.
Official source: co.st-clair.il.us
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

This form lets a person request help related to a disability when participating in court. It asks for the requestor’s name, court role, contact information, accommodation needed, and when and where it is needed. It also says the request may be submitted to any court personnel and encourages sending it to the Court Disability Coordinator.

Who needs it

A person with a disability who needs an accommodation for court, or a contact person completing the request on their behalf, can use this form.

How to submit it

Submit the request to any court personnel; the form encourages submitting it to the Court Disability Coordinator and provides fields for coordinator contact details.

About notarization

This form has no notary block; it requests accommodation and contact details, and states no notarized attachment or sworn step.

How to submit this form

1
Download the Form
Download the ADA Accommodation Request Form for Illinois Courts.
2
Complete the Request
Provide the requestor’s details, requested accommodation, and the date, time, and location when known.
3
Review Contact Details
Include contact information and the best way to reach the requestor; provide a contact person if different.
4
Submit to Court Personnel
Submit the request to any court personnel. The form encourages submission to the Court Disability Coordinator.

Frequently asked questions

What does the ADA Accommodation Request Form ask for?: It asks for the requestor’s name and court role, contact details, the accommodation needed, and when and where the accommodation is requested.
Who can submit an accommodation request?: The form is for a person who needs an accommodation to participate in court. It also asks for a contact person if someone else is completing or assisting with the request.
Do I need a notary for the ADA Accommodation Request Form?: No. The form has no notary block and states no notarized attachment or sworn step.
How do I submit the ADA Accommodation Request Form?: The form says you may submit the request to any court personnel and encourages submitting it to the Court Disability Coordinator.

Need something notarized?

This Americans With Disabilities Act Accommodation Request Form For Illinois Courts doesn’t need a notary, but Illinois residents can notarize other documents online with a commissioned online notary.