Accommodation Request Form

Knox County Tennessee

Accommodation Request Form

Note: For a fillable version please download the ADA Accommodation Request Form to you computer. The document is in Adobe Acrobat (pdf) format so you must download the form and use Adobe Acrobat Reader to properly view and fill out this document.

AMERICANS WITH DISABILITIES ACT
REASONABLE ACCOMMODATION REQUEST FORM

If not employed by Knox County, what facility, program, activity or service do you need assistance with? (check all that apply)

Anyone who requires auxiliary aid or service for effective communication or a modification of policies or procedures to participate in a Knox County program, service or activity of Knox County, should contact us no later than 72 hours before the scheduled event.

3. Is your accommodation time sensitive?
4. Have you had any accommodations in the past for this same limitation?



Need Assistance with this form?
Text 865-318-9310 or
TTY 865-215-2497