Date Received:
For Office Use Only
Received by:
REQUEST FOR THE INSTALLATION OF ACCESSIBLE PARKING SIGNAGE FORM
Requesting
Party
s
Name:
Address: City:
State: Zip Code:
Telephone (Home): Telephone (Work):
DE Accessible Parking Tag Number:
I request that the Delaware Department of Transportation install Accessible Parking Signage located at
___ (Route Number/Street
Name)
in (city, town, or county).
Please describe the difficulty you have as it pertains to parking:
Please call DelDOT at 1-302-760-2048 with questions, or to seek assistance in filling
out the form and/or mail form to:
DelDOT ADA Title II/Section 504 Coordinator
ATTN: Todd Webb
P.O. Box 778
Dover, DE 19903
E-mail: DOT.ADARequest@delaware.gov
Note: DelDOT does not implement pavement markings for accessible parking locations.
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