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COURT USER REQUEST FOR REASONABLE ACCESS/ACCOMMODATIONS
Today’s Date:
*
Case Name/ No *
Name *
Phone *
Email *
Address *
City *
State *
Zip *
Ward *
How are you involved in the case? *
Petitioner/Plaintiff
Defendant/Respondent
Attorney
Juror
Witness
Judicial Officer
Other
In case of OTHER,please specify interest in or connection to proceeding, if any
Date You need the accommodation
*
Accommodation Time *
Where do you need the accommodation(s)?
*
What accommodation(s) do you need and how will it let you participate in Court?
*
Please provide any information that would help the court respond to your request:
*
Please provide any additional information that might be useful in processing your accommodation request:
*
If you wish to upload any documents, please click on Choose and upload
Choose
Maximum Files allowed is 5 and Each file should not exceed 10 MB
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