If you have a disability that is covered (protected) under the Americans with Disabilities Act (ADA) and you are a qualified individual, you are entitled to Reasonable Accommodation should you need one. To request a reasonable accommodation, complete the Request for Reasonable Accommodation Form and return it to the Office of Human Rights. If you need assistance completing the form or have questions, contact the ADA Coordinator at 703-228-7096 or amaynard (at) arlingtonva.us. This is a confidential process.
Request for Reasonable Accommodation Form (printable PDF)
Request for Reasonable Accommodation Form (HTML)
Any individual who believes he or she has been discriminated against by Arlington County Government on the basis of disability in the areas of physical access, program access, and/or communication access may file an ADA Grievance. Complaints on behalf of classes of individuals are also permitted.
The information requested on the ADA Grievance Form must be filled in completely to help us expedite processing your complaint. If you need assistance completing this form or if you have questions regarding your rights and protections under this complaint procedure, please contact the ADA Coordinator at the number below or by email.
The form is available in printable PDF or HTML.
This form shall be submitted with in 180 days of the alleged discrimination to:
County Section 504/ADA Coordinator
Office of the County Manager , Division of Human Rights and EEO
Office for Persons with Physical Disabilities
2100 Clarendon Boulevard, Suite 318
Arlington , VA 22201
703-228-7096 (V/TTY)
703-228-4390 FAX
ON THIS PAGE
Requesting a Reasonable Accommodation
Filing and ADA Grievance
CONTACT US
Office of Human Rights, Equal Employment Opportunity, Affirmative Action and the Americans with Disabilities Act
2100 Clarendon Boulevard, Suite 318
Arlington, VA 22201
TEL 703.228.3929
TTY 703.228.4611
FAX 703.228.4390