ADA Request form
I would like to request:
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Please Select
Accessible Route
Auxiliary Aids and Services
Curb Ramp
Modification to an event or program
Website Accessibility
Auxiliary Aids and Services
Please specify your request here:
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Website Accessibility Feedback Form
If you use assistive technology (such as a screen reader, a Braille reader, or TTY) and the format of any material on the City of Port St. Lucie's website (www.cityofpsl.com) interferes with your ability to access information, please fill out this form. To help us respond in a manner most helpful to you, please provide the link you are trying to access, the preferred format in which to receive the material, and your contact information. The City will make reasonable efforts to accommodate all needs.
URL(s) web address or location of the problem page:
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Description of the problem encountered:
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Solution desired:
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Request A Curb Ramp
Describe the locations where you think curb ramps should be installed:
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Please provide comments, suggestions, or information to help us better serve you:
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Accessible Route Request
Description of Disability (if any):
Type of Assistive Technology (if any):
Did you have enough room to travel safely?
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Yes
No sidewalk exists
Sidewalks started and stopped
Sidewalks are too narrow
Sidewalks are blocked with poles, signs, vegetative debris, or other obstacles
Sidewalk passing space is not adequate or provided
Sidewalks are excessively steep
Sidewalks have severe cross-slopes
Sidewalk surfaces are not firm
Sidewalks are broken or cracked
Adequate rest areas and/or level areas are not provided
Gratings for trees and drainage are not avoidable
Other
Were the curb ramps easy to use?
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Yes
Curb ramps were not provided
Curb ramps need repair
Curb ramps were too steep
Curb ramps did not have landings
Puddles or debris collected at the bottom of the curb ramp
Detectable warnings were not provided
Extreme street slope made entering or leaving the curb ramp difficult
Obstacles such as poles or gratings blocked the curb ramps
Other
Was it easy to cross streets?
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Yes
Difficult to differentiate between the sidewalk and the street
The road was too wide to cross on one signal phase
Traffic signals made you wait too long
Traffic signals did not give you enough time to cross
Pedestrian controls were difficult to locate
Pedestrian controls were difficult to activate
Parked cars block your view of traffic
Trees or plants block your view of traffic
Other
Was your outing pleasant?
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Yes
Needs more grass, plants, or trees
Too much exposure to traffic
Suspicious activity
Not well lit
Dirty; lots of litter or trash
Other
If you have other concerns, please explain:
Location of other concerns:
Modification to an event or a program
The program or event to which I am requesting access is located at:
I am requesting the following accommodations:
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Please provide any other details or information necessary to process this request:
Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email (to receive a copy of your request):
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Confirmation Email
example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Please verify that you are human
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Submit
Should be Empty: