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Forms

The forms listed below are available for download in PDF format. They can be printed, and mailed or faxed to the ADA Programs Division. You can also contact the ADA Programs Division to have a form mailed to you.

   
   

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Forms for General Use

"" Filing a Complaint:

This form is used for preliminary complaints about discrimination based upon disability. The form can be printed and then mailed or faxed to the ADA Programs Unit. Complaint Form (PDF)

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Forms for City Associates- Auxiliary Aids and Services

Accommodations for City of Oakland Meetings are coordinated through the ADA Programs Division. To request accommodations for meetings, contact the ADA Programs unit for a request form. Forms are also available below in PDF format. Print these forms and mail or fax the request to the ADA Programs Division. The contact information is listed below.

Arranging Sign Language Interpreting Services:

City staff may use this form to arrange sign language interpreting services for City customers with hearing impairments who wish to attend City meetings or events or to participate in other City programs and services. Sign Language Interpreter Request Form (PDF)

Arranging Braille Translation Services:

City staff may use this form when arranging Braille translation of printed materials for City customers who wish to attend City meetings or events or to participate in other City programs and services. Braille Format Request Form (PDF)

"" Arranging Real-Time Captioning Services (RTC):

City staff may use this form to arrange real-time captioning services for City customers with hearing impairments who wish to attend City meetings or events or to participate in other City programs and services. RTC Request Form (PDF)

"" Arranging Audiotape Translation Services:

City staff may use this form when arranging audio translation of printed materials for City customers who wish to attend City meetings or events or to participate in other City programs and services. Audio Translation Request Form (PDF)

Mail or fax forms to the ADA Programs Division

Christine Calabrese, City ADA Coordinator
City Administrator’s Office
One Frank H. Ogawa Plaza, 3rd Floor
Oakland, California 94612
Voice: (510) 238-5219
TTY: (510) 238-2007
Fax: (510) 238-3304
E-Mail: ccalabrese@oaklandnet.com

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Site Accessibility Information
City of Oakland | ADA Programs Division | City Administrator's Office
One Frank H. Ogawa Plaza, Third Floor | Oakland, CA 94612
Voice: (510) 238-5219 | TTY: (510) 238-2007
Last modified on August 16, 2007