Accommodation Request Form

Accommodation Request Form

The Colorado Department of State is committed to providing equitable access to all our services. If you need auxiliary aids or services for effective communication (such as a sign language interpreter, an assistive listening device, or print material in a digital format) or reasonable modification to programs, services, or activities please complete the form, preferably 7 days before the activity or event. Our office will respond to your request within three business days.
All fields marked with an * are required and must be filled out.
Name*

First NameLast Name
Phone Number
Please enter a valid phone number.
Email*
example@example.com
For which program or service do you need an accommodation?*
How can we make the program or service accessible for you?*
Contact Information

Email: accessibility@coloradosos.gov

Phone: 303.894.2200
Should be Empty: