Fillable Problems with Campus Accessibility? (Longwood University)

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Problems with Campus Accessibility? (Longwood University)

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Problems with Campus Accessibility?
Use this form to report problems with campus accessibility.
It will be sent to Dana M. Miller Kieran M.S., Director, Office of Disability Resources. You may call her at
434-395-4935
or e-mail her at millerkierandm@longwood.edu for more information or to check on the status of
your request.
Date: _________ Location (be as specific as possible): __________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Problem (check one):
_____Automatic Door is Not Opening
_____Automatic Door Button is Not Working Properly
_____Bushes, Trees, or Other Foliage is Encroaching on Sidewalk
_____Curb Cut is Insufficient or Damaged
_____There Appears to be No Accessible Entry
_____Damaged or Missing Accessible Parking or Accessible Seating Signs
_____Lack of Braille Placard
_____No Accessible Bathroom or Accessible Bathroom is Not Sufficient (describe below)
_____Other (Please Describe Below)
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Please Note: We strive to maintain an accessible campus. It is possible that the problem you are
reporting is in the process of being fixed. We will let you know if this is the case. We use ADA guidelines
to ensure campus accessibility. For more information, please visit the following website:
http://www.access-board.gov/adaag/html/adaag.htm . Feel free to call our office for more information.
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Completed 23 July 2020

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