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    ADA Accommodation Request Form

    Home » Programs » Americans with Disabilities (ADA) Services » ADA Accommodation Request Form

    Type of Accommodation

    Party Requesting Assistance

    (Contact information for the person filling out this form)

    Person Needing Assistance

    (Contact information for the party needing services)

    How is the person needing assistance related to the case?

    Date & Time Assistance is Needed

    Mode of Hearing

    Case Information

    (Please type "Jury" in the field below if your request is for Jury Duty)

    Location of Appearance

    Presiding Judge

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