If you are involved in a court case and need to request a reasonable accommodation that is related to a disability, you can use this sample letter to submit your request. You can copy the text below and paste it into an electronic document (e.g., Word, Google Docs, or even an email), then replace the blank spaces with your information. With all of your information added, print and sign the letter, and submit it to the court via mail, email, or fax.
Languages: this sample accommodation letter is available in English and Spanish. Be aware that DRTx recommends that you provide your letter in a language understandable to the party or entity receiving it, which in most circumstances will be English.
Date: _________________
To the Judge of ___________________________ Court
Re: Disability Related Reasonable Accommodation Request
Dear Judge __________________________________:
My name is ____________________________ and I have a case in your court. The case number is _____________________________________________________________________.
I have a disability as defined by law. My disability is _______________________________. Because of this disability, I will need reasonable accommodation(s) to present or defend my case. I am asking for the following reasonable accommodations:
1.) _____________________________________________________________________________
2.) _____________________________________________________________________________
3.) _____________________________________________________________________________
I am making this request based on the Americans with Disabilities Act (ADA), Section 504 of the Rehabilitation Act of 1973, and any state law.
My next scheduled court appearance is on __________________________.
Please let me know as soon as possible whether I can get accommodations, and what they are. I can be reached by phone at ____________________________, by email at ___________________________, or by regular mail at ________________________________________________________________________________.
Thank you very much.
Sincerely,
Signature: ________________________________________
Publication Code: AC31
www.DRTx.org
Statewide Intake: 1-800-252-9108
Sign Language Video Phone: 1-866-362-2851
Purple 2 Video Phone: 512-271-9391
Online Intake available 24/7: intake.DRTx.org
Disclaimer: Disability Rights Texas strives to update its materials on an annual basis, and this handout is based upon the law at the time it was written. The law changes frequently and is subject to various interpretations by different courts. Future changes in the law may make some information in this handout inaccurate.
The handout is not intended to and does not replace an attorney’s advice or assistance based on your particular situation.
To request this handout in ASL, Braille, or as an audio file, contact us.
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