Accessibility Signage Verification Application Form

Accessibility Signage Verification Application Form
Submit details and supporting evidence for verifying the accessibility of signage at your location.
Applicant Full Name
First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Organization/Business Name (if applicable)
Location of Signage (Address)
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Type of Signage Being Verified
Accessibility Features Present (select all that apply)
Other

Signage Accessibility Assessment

Rows	Yes	No	Not Applicable
Is the signage easy to read from a distance?
Is the signage free from glare or reflections?
Is tactile or Braille present (if required)?
Is the signage placed at an accessible height?
Does the signage include visual symbols or pictograms?

Upload Photos of the Signage
Cancelof
Additional Comments or Observations
Signature (draw your signature to confirm submission)
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