ADA Accommodation Request Form

Questions about completing this form? Please call 727-464-4062 Monday through Friday (excluding holidays), 9:30am to 4:00pm.

Please submit this completed form as far in advance as possible; but, preferably at least seven (7) business days before your scheduled court appearance, or other court activity. Transportation is not an ADA request. The court does not provide transportation.

Persons with a disability needing reasonable accommodation in submitting their court-related accommodation request may call 727-464-4062.

I have read and understand these instructions and am ready to continue with my request.

Email addresses are public records under Florida law and are not exempt from public-records requirements. If you do not want your email address to be subject to being released pursuant to a public-records request, do not send electronic mail to this entity. Instead, contact this office by telephone (727-464-4062) or in writing, via the United States Postal Service at:

Pinellas County ADA Coordinator
400 S. Fort Harrison Ave.
5th Floor
Clearwater, Florida 33756