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2. City of Brighton
4. ADA Reasonable Accommodation or Modification/Complaint Form

   If you feel that you have not been able to access a City of Brighton program or service because of lack of accessibility and want a reasonable accommodation or modification, please fill out this form. 

   Accommodations/modification requests and complaints are processed as quickly as possible. You will receive a response within 72 working hours after your request has been submitted. 

   If you require assistance completing this form or have questions, please contact ADA Coordinator Laura Morris at 303-655-2096 or adacoordinator@brightonco.gov. 

6. First Name
7. Last Name
9. Address1
11. Address2
13. City
14. State
15. Zip
17. Phone Number
19. E-mail
21. How would you like us to contact you?

    1. E-mail
    2. Mail
    3. Phone
23. Accommodation Request/Complaint*

    Please be specific and provide as much information as possible. 

25. How can we meet your accommodation need? *
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field