In accordance with the requirements of Title II of the Americans with Disabilities Act of 1990 ("ADA"), the City of Florence will not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities. 

Employment: 

The City of Florence does not discriminate on the basis of disability in its hiring or employment practices and complies with all regulations promulgated by the U.S. Equal Employment Opportunity Commission under Title I of the ADA.

Effective Communication:  

The City of Florence will generally, upon request, provide appropriate aids and services leading to effective communication for qualified persons with disabilities so they can participate equally in City of Florence programs, services, and activities, including qualified sign language interpreters, documents in braille, and other ways of making information and communications accessible to people who have speech, hearing, or vision impairments.

Modifications to Policies and Procedures: 

The City of Florence will make all reasonable modifications to policies and programs to ensure that people with disabilities have an equal opportunity to enjoy all of its programs, services, and activities. For example, individuals with service animals are welcomed in City offices, even where pets are generally prohibited.

Requesting an Accommodation: 

Anyone who requires an auxiliary aid or service for effective communication or a modification to policies or procedures to participate in a City program, service, or activity should contact the City of Florence ADA Coordinator, listed below, as soon as possible but no later than 48 hours before the scheduled event. Please note the City’s operating hours to ensure efficient and accurate notification.

The ADA does not require the City of Florence to take any action that would fundamentally alter the nature of its programs or services, or impose an undue financial or administrative burden. 

No Surcharges: 

The City of Florence will not place a surcharge on a particular individual with a disability or any group of individuals with disabilities to cover the cost of providing auxiliary aids/services or reasonable modifications of policy, such as retrieving items from locations that are open to the public but are not accessible to persons who use wheelchairs.

Cortlyne Huppe, ADA Coordinator
City of Florence
600 West 3rd Street
Florence, CO 81226
(719) 784-4848, option 5

City of Florence Request for Accommodations Form Title II of the Americans with Disabilities Act 

This material can be made available upon request in an alternative format as required by the Americans with Disabilities Act of 1990. For further assistance, you may direct your request to the ADA Coordinator.

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Name of Person Filling Out Form

Name (required)

Address (required)

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Zip (required)

Phone Number (required)

Email Address (required)

Your Signature (required)

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Review Electronic Records and Signatures Policy (required)

Read our Electronic Record and Signature Disclosure

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Individual Needing Accommodation

Name (required)

Address (required)

City (required)

Zip (required)

Phone Number (required)

Email Address (required)

Your Signature (required)

Confirm e-Signature

Review Electronic Records and Signatures Policy (required)

Read our Electronic Record and Signature Disclosure

I agree to use electronic records and signatures

Please list the facility, program, service, event, or location for which you are requesting accommodation or barrier removal: (additional comments and/or relevant documents may be attached) (required)

Date(s) the Accommodation is Needed: (required)

What is the specific accommodation you are requesting? (required)

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