Fairfax, VA · City of Fairfax

No notary required

Accessibility Compliance Form for Alterations to Existing Structures

Designers or legal owners complete this form to certify accessibility compliance for a project involving alterations to an existing structure.

What this form is

This form records an accessibility compliance statement for alterations to an existing structure. The designer or legal owner identifies the project and permit, selects full compliance or the disproportionate-cost option, and provides cost estimates and a description of improvements. The signer certifies compliance with applicable building codes and accessibility standards.

Who needs it

A designer or legal owner completing an alteration project uses this form to document the project's accessibility compliance statement.

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 form is signed and dated without a notary; it identifies no notarized or sworn attachment, so the designer or legal owner signs and dates it.

How to submit this form

  1. 1

    Download the Form

    Download the Accessibility Compliance Form for alterations to existing structures.

  2. 2

    Complete Project Details

    Enter the project name, address, and building permit number, then select the applicable compliance statement.

  3. 3

    Provide Costs and Improvements

    Fill in the estimated alteration and accessibility-improvement costs and describe the improvements to be provided.

  4. 4

    Sign and Submit

    The designer or legal owner prints their name, provides contact details, signs and dates the form, then submits it to the city department named on the form.

Frequently asked questions

What does the Accessibility Compliance Form cover?
It records a compliance statement for alterations to an existing structure, including the project details, accessibility option, cost estimates, planned improvements, and signer certification.
Who completes this form?
The form states that the signer must be the designer or legal owner of the identified project. It asks for project details, cost estimates, and a description of accessibility improvements.
Do I need a notary for the Accessibility Compliance Form?
No. This form is signed and dated without a notary, and it identifies no notarized or sworn attachment.
How do I submit the Accessibility Compliance Form?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Accessibility Compliance Form for Alterations to Existing Structures doesn’t need a notary — but if you have another Fairfax form that does, a commissioned online notary can help.