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This form should be used to request a reasonable accommodation.
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This form should be used if you believe the City of Philadelphia has violated your rights under
the ADA.
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Under Title II of the Americans with Disabilities Act, a federal civil rights law, the City
of Philadelphia must furnish auxiliary aids and services to individuals with disabilities
when necessary to ensure effective communication. All City documents available to the public
must be made available in an alternate, accessible format to people who are blind or
visually impaired upon request.
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Under Title II of the Americans with Disabilities Act, a federal civil rights law, the City of
Philadelphia must furnish auxiliary aids and services to individuals with disabilities
when necessary to ensure effective communication. All City information provided
to the public orally must be made available in an alternate, accessible format to people who
are deaf or hard of hearing upon request.
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