Accessibility Barrier Prioritization Form
Report and help prioritize accessibility barriers to improve inclusive access. Please provide detailed information about the barrier you have identified.
Barrier title or summary
*
Detailed description of the barrier
*
Location of the barrier (e.g., building, room, online platform)
*
Type of barrier
*
Please Select
Physical (e.g., steps, doors, signage)
Digital (e.g., website, app, documents)
Communication (e.g., captions, ASL, announcements)
Attitudinal (e.g., staff training, policies)
Other
Who is affected by this barrier?
*
People with mobility impairments
People with visual impairments
People with hearing impairments
People with cognitive or learning disabilities
Everyone
Other
How severe is the impact of this barrier?
*
Critical – prevents access entirely
Major – significantly restricts access
Moderate – creates some difficulty
Minor – inconvenience only
How urgent is it to address this barrier?
*
High – needs immediate attention
Medium – should be addressed soon
Low – can be addressed later
Date barrier was identified
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Attach a photo or file (optional)
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Your suggestion for resolution or improvement
Your name or team (optional)
Submit barrier
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