Accommodation Request Form – Farmington Community Library

Request for Reasonable Accommodation

We are committed to providing reasonable accommodation for people with disabilities at Library-sponsored events, Library services, or Library spaces. Please fill out this form to request accommodations, such as wheelchair access or sign language interpretation. Paper forms are available at both FCL locations at any Information Desk.

Important Information

We request at least ten business days' notice to process accommodation requests.
Requests made with less than two weeks' notice may not be able to be fulfilled.
A staff member will contact you within three business days using your preferred contact method.

Who is this request for? *

Myself

Someone else

Please provide their full name:

Your full name: *

Phone number: *

Email address: *

Preferred contact method: *

Phone

Are you requesting accommodation for a Library event? *

Yes

Event title: *

Event date: *

What type of accommodation do you need?

Please describe your request in detail. You do not need to provide medical information. Focus on how the Library can help make the event accessible to you.

The Library may be able to provide:

An American Sign Language (ASL) interpreter
Accessible seating (space at the front of the room for a wheelchair, walker, or scooter)
Ramp access to the second level of the Auditorium
Adaptive tools for writing and crafts at Library-sponsored events

This list is not exhaustive. If you need something else, please include it in your request below: *

Acknowledgement

Before submitting this form, please review the Americans with Disabilities Act (ADA) and the Library's ADA Compliance Policy. Please check the box below to confirm:

Confirmation *

I confirm that the person requesting the accommodation has a disability covered by the Americans with Disabilities Act (ADA), and I have read and acknowledge the Library’s ADA Compliance Policy.