Please use this form to request a modification to current Arvada policy or procedure that you feel is preventing access to an Arvada service, program, or activity. Be specific and provide as much detailed information as possible. This will allow us to effectively process and evaluate your request. When filling out this form, feel free to reference Arvada’s Reasonable Modification Statement. Arvada will consider the request in accordance with its Americans with Disabilities Act Policies.

This form and process is not intended to identify, nor disclose a person’s disability. The intent of this form is to identify barriers to access involving policies/procedures, and possible solution(s) to those barriers.

For questions, please contact: Ann Foster - afoster@arvada.org - 720-898-7611

All information requesting a modification will be kept confidential in the ADA Coordinator's Office