If a public entity discriminates against you because of your disability, you can resolve your dispute without a lawsuit by contacting the ADA coordinator. For more information about ADA requirements for public entities, ADA coordinators, and how to use these sample letters, check out our information packet, “What is an ADA Coordinator?”

View information on Title II for attorneys and advocates.

Sample Letters

ADA Title II Accessibility/Request for Accommodation

Date
State/local government agency
Address

Dear [Head of state/local government agency]:

I write concerning the accessibility of [government service, program, or activity].

I am a person with a disability, in that [provide diagnosis or explain ways in which some major life activities are substantially limited]. It has been my experience that [this service/program/activity] is not accessible because _______________________________.

Title II of the Americans with Disabilities Act (ADA) prohibits discrimination by state or local governments on the basis of disability. Under Title II of the ADA, a state or local government must ensure accessibility of all services, programs, and activities by [select all that apply:

  • eliminating any eligibility criteria for participation in programs, activities, and services that screen out or tend to screen out persons with disabilities, unless it can establish that the requirements are necessary for the provision of the service, program, or activity;
  • reasonably modifying its policies, practices, or procedures to avoid discrimination; and/or
  • ensuring that individuals with disabilities are not excluded from services, programs, and activities because existing buildings are inaccessible.]

To ensure accessibility of the above service/program/activity, I respectfully request that you [select all that apply:

  • eliminate the eligibility criteria specified below;
  • reasonably modify the policy, practice, or procedure specified below; or
  • alter the existing facility specified below, construct additional facilities, relocate the service/program/activity to an accessible facility, or provide the service/program/activity at an alternate accessible site.]

Specifically, I request the following: _______________________________.

Please reply to my request in writing within ten (10) business days. If you have any questions about my request, please do not hesitate to contact me at ( ) – .

Sincerely,

[Signature]

Name
Address

No Identifiable ADA Coordinator

Date

State/local government agency
Address

Dear [Head of state/local government agency]:

I write concerning [government service, program, or activity] and its compliance with the Americans with Disabilities Act (ADA).

I have attempted to determine who the ADA Coordinator is for your agency, but have been unable to do so. Title II of the ADA requires public entities that employ 50 or more people to designate an ADA coordinator, make his or her contact information known to interested individuals, and adopt a grievance procedure. If your agency has designated an ADA coordinator and adopted a grievance procedure, please provide me with his or her contact information and forward this letter to that individual.

I am a person with a disability, in that [provide diagnosis or explain ways in which some major life activities are substantially limited]. It has been my experience that [this service/program/activity] is not accessible because [location, date, and description of the problem, including details about any previous requests for accommodation].

Title II of the Americans with Disabilities Act (ADA) prohibits discrimination by state or local governments on the basis of disability. Under Title II of the ADA, a state or local government must ensure accessibility of all services, programs, and activities by

[include all that apply:

  • eliminating any eligibility criteria for participation in programs, activities, and services that screen out or tend to screen out persons with disabilities, unless it can establish that the requirements are necessary for the provision of the service, program, or activity;
  • reasonably modifying its policies, practices, or procedures to avoid discrimination; and
  • ensuring that individuals with disabilities are not excluded from services, programs, and activities because existing buildings are inaccessible.]

To ensure accessibility of [the above service/program/activity], I respectfully request that you [include all that apply:

  • eliminate the eligibility criteria specified below;
  • reasonably modify the policy, practice, or procedure specified below; or
  • alter the existing facility specified below, construct additional facilities, relocate the service/program/activity to an accessible facility, or provide the service/program/activity at an alternate accessible site.]

Specifically, I request the following: [___________________ ].

Please reply to my request in writing within ten (10) business days. If you have any questions about my request, please do not hesitate to contact me at ( ) – .

Sincerely,

[Signature]

Name
Address

Reporting Grievance to ADA Coordinator

Date 

Name
ADA Coordinator
State/local government agency
Address 

Dear [ADA Coordinator]: 

I write concerning [government service, program, or activity] and its compliance with the Americans with Disabilities Act (ADA). 

I am a person with a disability, in that [provide diagnosis or explain ways in which some major life activities are substantially limited]. It has been my experience that [this service/program/activity] is not accessible because [location, date, and description of the problem, including details about previous requests for accommodation]. 

Title II of the Americans with Disabilities Act (ADA) prohibits discrimination by state or local governments on the basis of disability. Under Title II of the ADA, a state or local government must ensure accessibility of all services, programs, and activities by [include all that apply: 

  • screen out or tend to screen out persons with disabilities, unless it can establish that the requirements are necessary for the provision of the service, program, or activity; 
  • eliminating any eligibility criteria for participation in programs, activities, and services that reasonably modifying its policies, practices, orprocedures to avoid discrimination; and 
  • ensuring that individuals with disabilities are not excluded from services, programs, and activities because existing buildings are inaccessible.] 

To ensure accessibility of [the above service/program/activity], I respectfully request that you [include all the apply: 

  • eliminate the eligibility criteria specified below; 
  • reasonably modify the policy, practice, or procedure specified below; or 
  • alter the existing facility specified below, construct additional facilities, relocate the service/program/activity to an accessible facility, or provide the service/program/activity at an alternate accessible site.] 

Specifically, I request the following:[ _________________________________________]. 

Please reply to my request in writing within [ten (10) business days OR # of days listed in adopted grievance procedure]. If you have any questions about my request, please do not hesitate to contact me at [phone number]. 

Sincerely, 

[Signature] 

Name 
Address