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Title

Ecology ADA Request Form

 
Form number Date Published Date Revised
ECY 070-538July 2016September 2018
VIEW NOW: Ecology ADA Request Form (Number of pages: 2) (Publication Size: 153KB)


Microsoft Word format (Publication Size: 49KB)


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Description This form is intended to be used by members of the public who may need to request accommodations under the ADA for Ecology's programs, services or activities. This form may also be used by Ecology employees to record ADA requests received over the phone.
REQUEST A COPY The mission of the Department of Ecology is to protect, preserve, and enhance Washington’s environment. To help us meet that goal, please consider the environment before you print or request a copy.

Accessibility Options
Persons with hearing loss can call 711 for Washington Relay Service
Persons with a speech disability can call 877-833-6341
Contact Sultana Shah at 360-407-6831 or ssha461@ecy.wa.gov
Keywords accommodation, ADA, accessibility, Admin Form, Official Ecology Form
WEB PAGE Accessibility Page