• Information about the issue

  • Please select one issue area for which you seek assistance. You may submit another intake form if you have more than one issue.*
  • Is there an attorney assisting you with the issue?

  • Assistive Technology (AT)

  • If you use a wheelchair, scooter and/or hearing aids, and believe it has a significant defect that substantially impaired its use or safety within its first year of use, and notified the vendor/manufacturer of the defect, the Oregon Assistive Device Lemon Law may apply to you.

  • What do you need this AT for? (select all that apply)
  • If you selected medical AT, select all that apply:
  • If the AT is for a person with Intellectual or Development Disabilities (I/DD), select all that apply:
  • If you selected work AT, select all that apply:
  • If you selected school AT, select all that apply:
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  • Education

  • Before You Submit This Form
    DRO is working on policy issues impacting students with disabilities and increasing advocacy supports on special education issues across Oregon. Because of this focus, we are generally unable to respond to requests submitted through this form, except in limited circumstances. While we may not be able to assist directly, families may find the following resources helpful in navigating special education questions and accessing support.


    DRO Guide: For information about special education rights and how to advocate for your child, a great deal of information is available on DRO's Know Your Rights: Children's Rights and Special Education page and specifically DRO’s Special Education: A Guide for Parents and Advocates.

    Shortened School Days: DRO is currently focusing its education advocacy work on school districts shortening the school days of children with disabilities because of their behavior. If this is happening to your child, please complete our Request Help for Shortened School Days form.

    FACT Oregon: For individualized information, support, and advocacy, we encourage you to contact FACT Oregon. 

    FACT Oregon

    Call or text: 503-786-6082 or 541-695-5416.

    Email: support@factoregon.org or apoyo@factoregon.org (typical response time 48-72 hours)

    For non-urgent matters, you can also SELF-SCHEDULE a call in ENGLISH or SPANISH.

  • Is the child with a disability already on an IEP or 504 plan?
  • Are there concerns about abuse, seclusion, or restraint?
  • Has your child experienced multiple or repeated removals from the classroom (e.g., suspensions, expulsions, or requests for early pickup)?

  • Employment (Reasonable Accommodation)

  • Are you a federal employee?
  • Do you believe you have been discriminated against by your employer?
  • Have you made a reasonable accommodation request to an employer that has been ignored or denied?
  • If you made a reasonable accommodation request, has it been more than 30 days since the request was made?
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  • Guardianship

    Disability Rights Oregon only represents the people with disabilities, including those who may have a guardian. We cannot provide assistance to a guardian or a person seeking guardianship.
  • Did you receive a guardianship petition or are you under guardianship?
  • Do you want to know about your legal rights as a person under guardianship?

  • Housing (Reasonable Accommodation)

  • Please select the housing issue for which you seek assistance (select all that apply):
  • Do you believe you have been discriminated against by a housing provider?
  • Do you live in subsidized housing?
  • Are you being evicted or did you receive an eviction notice?
  • If you are being evicted, what type of eviction notice did you receive?
  • If you are being evicted, are the allegations in the eviction notice related to your disability?
  • If you are being evicted, when did you receive the eviction notice?
     - -
  • If you are being evicted, when is the vacate date?
     - -
  • Have you made a reasonable accommodation or modification request to a housing provider that has been ignored or denied?
  • If you made a reasonable accommodation or modification request, has it been more than 30 days since the request was made?
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  • Medical Care

  • If you feel you were mistreated by a hospital, healthcare facility, doctor, or another mental health professional, you may want to file a complaint about your experience. If you want to sue a hospital or doctor for money, DRO is unable to represent or file a lawsuit for you. You can review options for filing complaints and grievances against healthcare providers.

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  • Mental Health

  • If you feel you were mistreated by a hospital, healthcare facility, doctor, or another mental health professional, you may want to file a complaint about your experience. If you want to sue a hospital or doctor for money, DRO is unable to represent or file a lawsuit for you. You can review options for filing complaints and grievances against healthcare providers.

  • Please select the mental health related issue for which you seek assistance (select all that apply):*
  • If your inquiry is regarding the criminal justice system, do you have an open criminal case?
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  • Have you contacted Disability Rights Oregon in the past?

  • Physical Accessibility

  • Please select where you experienced the accessibility issue for which you seek assistance:
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  • Residential Facilities

  • Please select the residential facility issue for which you seek assistance (select all that apply):
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  • Social Security Overpayment

  • Please select the source of concern (select all that apply):
  • Did you receive a notice from the Social Security Administration of a work-related overpayment?
  • If you received an overpayment notice, when did you receive the notice?
     - -
  • If you received an overpayment notice, have you filed a request for reconsideration or a request for waiver with the Social Security Administration?
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  • Survivor of a Crime

  • Are you a person with a disability who is a survivor of a crime?
  • Are the services you are requesting connected to that crime?
  • Are there any court dates or time limits we should be aware of?
  • Please select the issue for which you seek assistance (select all that apply):
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  • Treatment in Jail or Prison

  • Please select the jail/prison issue for which you seek assistance (select all that apply):
  • Are you currently incarcerated in a jail or prison?
  • Has a court found you unable to aid and assist in your defense?
  • Has a court found you guilty except for insanity of a crime?
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  • Vocational Rehabilitation Services or Independent Living Resources Provider

  • Please select the vocational rehabilitation issue for which you seek assistance (select all that apply):
  • Is there a specific VR determination or decision with which you dispute or disagree?
  • Have you received a “Notice of Action” from a vocational rehabilitation agency?
  • If you received notice of a determination, decision, or “Notice of Action” from a VR agency, when did you receive the notice?
     - -
  • Have you requested mediation or an impartial fair hearing to resolve the issue?
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  • Voting

  • Are you a registered voter?
  • Do you want to receive a voter registration form?
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  • Other

    Due to the current number of cases currently unresolved, we are not accepting any new requests for services related to Assistive Technology (AT), Employment, Housing, Physical Accessibility, or Vocational Rehabilitation (VR). If you need assistance with AT, Employment, Housing, Physical Accessibility, or VR, please check back in 21 days.
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  • Person with Disability

    If you are not the person with a disability and are completing this form on behalf of someone else, there is a section below this one for your contact information. The purpose of this section is to collect demographic information of the person with a disability.
  • Date of Birth*
     - -
  • Race (select all that apply)
  • Beneficiary Status

  • Contact Information of Person with a Disability

  •  -
  • Is it safe for DRO to contact you by phone and/or by text?
  • Accommodations Needed for Communication (select all that apply):

  • Contact Information (if different from person with a disability)

  •  -
  • Accommodations for Contact (select all that apply):
  • Should be Empty: