Request Disability Accommodation Form - Winston-Salem

Civil Rights and Equity North Carolina 4 Minutes Read ยท published February 10, 2026 Flag of North Carolina

In Winston-Salem, North Carolina, residents and visitors with disabilities can request reasonable accommodations from city programs, services, and facilities. This guide explains how to submit a request, which city office handles accommodations, expected timelines, possible enforcement or remedies, and typical actions when a request is approved or denied. If you need a different format to read this page or assistance filing a request, contact the city Civil Rights or Equity office listed below for help.

Ask for help from the Civil Rights & Equity office if you need assistance completing the form.

What is a disability accommodation request

A disability accommodation request asks the city to change a policy, provide auxiliary aids or modify procedures so a person with a disability can equally access municipal programs, services, facilities, or employment. Requests may cover public meetings, permitting processes, inspections, recreation programs, voting assistance at city-run events, or property-access issues.

How to request

  • Complete the city accommodation request form or submit a written request describing the accommodation needed and the program or service affected; see the official request form link Disability Accommodation Request Form[1].
  • Contact the Civil Rights & Equity or ADA Coordinator office by phone or email for assistance, intake, or to arrange alternative formats; see the Civil Rights & Equity office page Civil Rights & Equity[2].
  • Provide requested supporting information if asked (medical documentation is rarely required beyond what is necessary to assess the request).
  • If the request affects a scheduled event or inspection, submit as early as possible to allow the city time to arrange accommodations.
If an immediate accommodation is needed for safety or access, call the Civil Rights & Equity office directly.

Penalties & Enforcement

Enforcement of disability accommodation obligations in Winston-Salem is handled administratively through the city Civil Rights & Equity office and, where applicable, through federal or state civil rights processes. Specific monetary fines for failure to provide accommodations are not listed on the cited city pages; see the Civil Rights & Equity office link for administrative contacts and procedures.[2]

  • Monetary fines: not specified on the cited page.
  • Escalation: first or repeat violations and per-day continuing penalties are not specified on the cited page.
  • Non-monetary remedies: orders to provide reasonable accommodations, corrective action plans, administrative compliance deadlines, and referral to federal agencies (e.g., DOJ) or to state enforcement may occur.
  • Enforcer and complaint pathway: Civil Rights & Equity office (city ADA Coordinator) manages intake and compliance reviews; complaints can be submitted using the city intake form or by contacting the office directly.[2]
  • Appeals and review: internal appeal or reconsideration procedures are not specified on the cited page; you may request reconsideration from the Civil Rights & Equity office and pursue external remedies through state or federal agencies within applicable time limits.
  • Defences/discretion: the city may consider undue hardship, fundamental alteration, safety concerns, or availability of alternative accommodations when deciding requests.

Applications & Forms

The city publishes a Disability Accommodation Request Form for intake and recordkeeping; the form name and location are provided in the links above. If no specific form is available for your request type, submit a written request to the Civil Rights & Equity office including the event or service affected, the accommodation requested, and contact information.[1]

Keep copies of all correspondence and any documentation the city requests.

Common violations and typical outcomes

  • Failure to provide a sign language interpreter for a scheduled public meeting โ€” typical remedy: arrangement of interpreter services and retroactive accommodation where feasible.
  • Denial of accessible restroom or facility access during a city event โ€” typical remedy: corrective order and timeline to make temporary or permanent fixes.
  • Refusal to allow service animal access โ€” typical remedy: instructions to comply and training or policy revision.

Action steps

  • Complete and submit the Disability Accommodation Request Form or provide a written request describing the needed accommodation and the affected program.
  • If you need immediate help, call the Civil Rights & Equity office to request interim accommodations while your request is processed.
  • If you disagree with the decision, ask the Civil Rights & Equity office about internal review or request referrals for external complaint options.

FAQ

Who can request an accommodation?
Any person with a disability who needs a modification or auxiliary aid to access a city program, service, or facility may request an accommodation.
How long will a decision take?
Processing times vary by request complexity and required coordination; specific timelines are not specified on the cited city pages, so submit requests early and ask the Civil Rights & Equity office for an estimated timeline.[2]
Is medical proof always required?
No; the city will generally request only the information necessary to evaluate the accommodation and may not require detailed medical records.

How-To

  1. Describe the program, service, event, or facility where you need an accommodation.
  2. Specify the accommodation you are requesting and why it is needed.
  3. Submit the city Disability Accommodation Request Form or a written request to the Civil Rights & Equity office and keep a copy.
  4. Provide additional information if requested and follow up with the office for status updates.
  5. If denied, request reconsideration from the Civil Rights & Equity office and ask about external complaint options.

Key Takeaways

  • Use the official Disability Accommodation Request Form whenever possible.
  • Contact the Civil Rights & Equity office for assistance and interim accommodations.
  • Keep records of all communications and copies of submitted forms and responses.

Help and Support / Resources