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Department on Disability
 


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1. Fill out (type in the provided fields) hint: you may tab through the form
2. Click the "make printable" button
3. Print the form

4. Fax to
:

Department on Disability,
Disability Access and Services
 
Attention: Richard Ray, ADA Compliance Coordinator
(213) 202-2715 FAX
 
For any questions, please contact Mr. Ray at
(213) 202-2753 Voice or (213) 202-3470 TTY.
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