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20TH JUDICIAL CIRCUIT
ADA TITLE II ACCOMMODATION REQUEST FORM
* Required
County
-- Select Option --
Charlotte
Collier
Glades
Hendry
Lee
Person Needing Accomodation
Name
Email Address
Street Address
City
State
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Zip
Phone Number
Person Needing Accomodations Role
Defendant
Litigant/Party
Witness
Juror
Victim
Attorney
Other:
Person Making Request
Name
Email Address
Phone Number
Relationship to person needing an accomodation
Case Information
If Applicable
Style of case (case title), if known:
Case number, if known:
Judge, if known:
Date accomodation needed:
Month Year
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Fr
Sa
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30
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Cancel
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Time accomodation needed:
- Select a time -
Location (courthouse/courtroom) accomodation needed:
Duration for which the accomodation is requested:
Type of Case, if known:
Appeal
Circuit Criminal
Circuit Civil
Family Court
Probation, Guardianship, or Mental Health
County Criminal
County Civil
Traffic Court
Small Claims
Other:
Type of Proceeding, if known:
Arraignment
Bond Hearing
Hearing
Trial
Appellate Oral Argument
Other:
Accomodations Requested
Nature of disability that necessitates accommodation
Please choose one of the following options:
Assistive Listening Device (Assistive listening systems work by increasing the loudness of sounds, minimizing background noise, reducing the effect of distance, and overriding poor acoustics. The listener uses a receiver with headphones or a neckloop to hear the speaker.)
Communication Access Real-time Translation/real-time transcription services (CART is a word-for-word speech-to-text interpreting service for people who need communication access. A rendering of everything said in the courtroom will appear on a computer screen. CART is not an official transcript of a court proceeding.)
Sign Language Interpreter
Assignment to a courtroom that is accessible to a person using a mobility device
Provision of court document in alternate format
Other:
If Sign Language interpretation is requested, please specify American Sign Language, oral interpreter, signed English, or other type of signing system used by persons with hearing loss.
If requesting assignment to a courtroom that is accessible to persons using mobility device, please specify wheelchair, scooter, walker, or other mobility device that is used.
If provision for court documents in an alternate format is requested, please specify Braille, large print, accessible electronic document, or other accessible format used by persons who are blind or have low vision