Ecology ADA Request Form
Acrobat PDF format (Number of pages: 2) (Publication Size: 339KB)
Microsoft Word format (Publication Size: 52KB)
|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.
Persons with hearing loss can call 711 for Washington Relay Service
Persons with a speech disability can call 877-833-6341
|Contact||Hanna Waterstrat at 360-407-7668 or firstname.lastname@example.org|
|Keywords||accommodation, ADA, accessibility, Admin Form, Official Ecology Form|
|WEB PAGE||Accessibility Page|
Copyright © Washington State Department of Ecology. See http://www.ecy.wa.gov/copyright.html.