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2. City of Brighton
4. Auxiliary Aids and Services Request Form

   The City of Brighton has a policy to provide language access services at no charge to persons with limited English proficiency (LEP) and persons with a disability who are served by the City.  The City will make reasonable accommodations for citizens in accordance with the Americans with Disabilities Act (ADA) or will arrange for an interpreter in accordance with Title VI of the Civil Rights Act. Any request for an interpreter must be made at least 3 business days prior to the meeting.

   For more information on auxiliary aids or language interpretation services, or if you require assistance completing this form, please contact the City's ADA Coordinator, Laura Morris, at 303-655-2096 or  ADACoordinator@brightonco.gov.

   
   

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

    1. Email
    2. Mail
    3. Phone
23. Please state the City program, activity or service in which you need to use an auxiliary aid or service. Note that if your request requires a response in a certain timeframe or is related to a specific event, please provide the date and time of the event.
25. Please describe the auxiliary aids or service needed, including the reason and purpose, and provide any supporting documentation necessary to assist in processing the request. Attach additional pages if needed.
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