Town of Normal
ADA Accommodation Request

Requests must be in a timely manner prior to the start of the program or activity.

Requester Information:
Full Name
Day Phone
Evening Phone
Email Address

Mailing Address:

What Town activity, program or service are you requesting an ADA accommodation?

What Town facility are you requesting an ADA accommodation?

What dates and times are you requesting an ADA accommodation?

Describe your ADA disability, and then describe how the Town may accommodate you.

(The Town reserves the right to request that you supply evidence of your ADA disability.)

Your ADA request will be sent to the appropriate Town Department for their review and consideration.