West Allis-West Milwaukee School District Americans with Disabilities Act Reasonable Accommodation/ Modification in Public Services, Programs or Activities Request Form

The West Allis-West Milwaukee School District is committed to complying with the Americans with Disabilities Act ("ADA“). The "program accessibility” requirement of the ADA requires that each service, program, or activity, when viewed in its entirety, be readily accessible to and usable by individuals with disabilities. 28 CFR 35.150(a). Because Title II evaluates a public entity’s programs, services, and activities in their entirety, public entities have flexibility in addressing accessibility issues. 

The West Allis-West Milwaukee School District ADA Designee will review each request on an individualized, case-by-case basis to determine whether an accommodation or modification can be made. Please do NOT send medical records. If you are an employee of the district, please see the Employee Handbook for any ADA-related requests.

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Information About Person Needing Accommodation or Modification
Name *
Address *
Email Address *
Telephone Number *
Information About Person Making Accommodation or Modification Request
Name *
Relationship to Person Needing Accommodation *
Email Address *
Telephone Number *
Activity Information
Date of Activity *
MM
/
DD
/
YYYY
Start Time of Activity *
Time
:
End Time of Activity *
Time
:
Address of Activity *
Specific Accommodation/Modification Requested (interpreter; closed captioning; physical assistance, etc) *
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