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Accessibility Request Form

  1. This form allows residents and businesses to submit accessibility requests related to a wide variety of issues, including curb ramps, sidewalk obstructions and access to buildings, facilities or programs. The form will be reviewed by the ADA Coordinator and a response will be provided via email. To report a situation that may endanger pedestrians or bicyclists, please contact Public Works and Utilities Customer Response at 360-473-5920.
    Please provide as much information about your accessibility request as possible. The more information provided, the better we can serve you.
  2. Type of Accessibility or Accommodation Request*
  3. Problem Address
  4. (enter none if unknown or not applicable)
  5. Requester Information
  6. (if applicable)
  7. Leave This Blank:

  8. This field is not part of the form submission.