Inclusive Design Recognition Award Claim Request Form
Submit your request to claim an Inclusive Design Recognition Award. Please provide all required details to ensure prompt and accurate processing.
Full Name of Claimant
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Organization or Project Being Recognized
*
Award Being Claimed
*
Please Select
Inclusive Design Excellence Award
Accessibility Leadership Award
Universal Design Impact Award
Other (please specify below)
If 'Other', please specify the award name
Date of Award Notification
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Supporting Claim Details (describe your eligibility and why you are claiming this award)
*
Upload Supporting Documentation (optional)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Preferred Method of Contact for Follow-up
*
Email
Phone
Submit Claim
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