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Report A Facility Access Barrier
Please fill out this form to report a facility access barrier at the University of Arizona
First Name:
Last Name:
Phone:
Email:
Affiliation:
Student
Faculty/Staff
Campus Visitor
Describe the accessibility barrier (please be specific)
Building Name:
Building # / Location:
Specific Area / Room Number (Enter Location and Description of Problem):
Person to whom initial report was made
Name:
Position:
Phone:
Email:
Other Contact
Have you made any other contacts to try to rectify the problem?:
Yes
No
Name:
Position:
Phone:
CAPTCHA
This question is for testing whether you are a human visitor and to prevent automated spam submissions.
Math question:
*
10 + 9 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
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