Accommodation Request Resolution Form

If you submitted an accommodation request without resolution and believe your claim is the subject of disability-related discrimination on the basis of denial of access, please fill out an Accessibility Resolution Form below. For more information, please see Appendix B in the City of New Orleans ADA Transition Plan for Public Rights-of-Way Update.

As needed, please visit DPW at 1300 Perdido St., Rm 6W03; or call DPW at 504-658-800; or email for reasonable accommodations to complete this form.

DPW will investigate further and prepare a written decision, after full consideration of the merits of the complaint, no later than 60 days following the receipt of the Accessibility Resolution Form. The written decision will be mailed directly to the contact name and address provided on the Accessibility Resolution Form.

Upon request, reasonable accommodations will be provided in completing this form.

You may also download a fillable PDF version of this form.

Email to:

Mail to:
Department of Public Works
City of New Orleans
1300 Perdido St, Rm 6W03
New Orleans, 70112

Your information

Address, City, State, Zip
( ) -
Preferred method of contact (required)

Have you filed a request on 311? (required)

Complaint information

Owner information

Are you the property owner of the location? (required)