Accessibility Compliance Fund Request
Please fill out this form in order to request financial support from the SFDCCC in order to comply with a request for accessibly accommodation for a public meeting or event. Only current chartered clubs of the SFDCCC shall be eligible for these funds.

In order to complete your request, you must send a copy of the invoice that clearly lists amount requested and, if relevant, breaks out the specific services/equipment being provided. Invoices should be sent to Executive Director Adam Mehis at

Funds requested may be either a reimbursement to the club for services already rendered, or payment may be made directly to the vendor providing the service/equipment.

Club Name *
Your answer
Your name and position *
Your answer
Phone and/or email *
Your answer
Amount Requested *
Please send a copy of invoice to
Your answer
What is your club's annual budget? *
What equipment/service is being requested? *
Your answer
What is the occasion/event this equipment/service will support? *
Your answer
Who is requesting the equipment/service?
To whom and where should check be sent? *
Your answer
Has your club previously requested funds from the SFDCCC accessibility support fund? *
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