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Please select all types of accommodation(s) that apply
Please describe the nature of the accommodation(s) being requested. Please provide as much detail as possible, including: specific location, meeting date and time, and class information.
Canton Township will send email confirmation that your request has been received and is being reviewed within four business days of receiving your request. If you do not receive confirmation that Canton Township received your request for accommodation please contact Human Resources directly at 734-394-5260 to verify the request went through. Reasonable accommodations can be made with advance notice. Contact Human Resources directly at 734-394-5260 if the accommodation request is needed within four business days.
I acknowledge that the information provided is accurate and complete.
Please type full name.
Kerreen Conley, ADA Compliance Coordinator, 1150 S. Canton Center Road, Canton, MI 48188, (734) 394-5260
Please provide details regarding accommodation(s) status - pending approval or denial.
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Detailed reason(s) for denial of request
If an alternative accommodation was presented, indicate acceptance or rejection
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