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2. Thank you for contacting the Commission on Disability. This form is intended to provide a centralized way for members of the public to submit questions, concerns, requests, or accessibility-related issues.

   
   

   Please note that not all submissions will be reviewed or addressed directly by the Commission. Depending on the nature of your inquiry, your submission may be routed to appropriate Town staff (for example, Human Resources or other departments) to ensure it is handled in a timely and appropriate manner.

   
   

   All submissions will be reviewed, and your inquiry will be shared with both Town staff and a member of the Commission on Disability. You can expect a response or follow-up from the appropriate party.

4. First Name*
5. Last Name*
7. Email Address*
9. Please fill in the appropriate fields relevant to the accessibility concern or request you are reporting. You can skip any fields that do not apply to your concern:
11. Physical Barrier
13. Location of issue, if applicable:
15. Description of issue:
17. Communication Barrier
19. Description of Issue
21. Other Issue
23. Description of Issue:
25. Attachment 1
26. Attachment 2
27. Attachment 3
Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field