Request for Accommodation Form
Iowa Democrats strive to make all of our events and meetings accessible to all who wish to attend. Reasonable requests will be fulfilled as outlined in the Americans with Disabilities Act, as amended. To provide necessary accommodations please complete the form below and return it no later than 5 days before the scheduled event.

If you require assistance to complete this REQUEST FOR ACCOMMODATION FORM please contact access@idp1st.org.
Name *
Address *
County *
County (if you live outside Iowa's First District)
Phone *
Email
Requested Accommodations. (Check all that apply) *
Required
Additional Details about your accommodation
Date accommodation needed *
MM
/
DD
/
YYYY
Submit
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