Request service - for someone else

Before filling out this form, please know that we can only provide services to persons with disabilities. If you are not a parent of a minor with a disability, or the legal guardian of a person with a disability, we will not be able to talk with you about someone else’s disability rights issue. If you were planning to fill out this form on behalf of someone else, please let that person know that they will need to make the contact with us directly (unless you are the parent or guardian).

First, we will ask questions about you (the person filling out this form). Then, we will ask you questions about the person whom you are contacting us about (referred to in this form as “person with disability”).

Request service - for someone else