ADA Accommodation Request

The Town of Ashland prohibits discrimination against individuals with disabilities in its services, programs, and activities.

If you require a reasonable accommodation to access a Town of Ashland service, program, or activity, you may request such accommodation in one of several ways:

1. Complete the online form below.

2. Complete the ADA Accommodation Request fillable PDF, save it to your computer, and email it to

3. Contact the specific Town department directly. 

If you need assistance with submitting your accommodation request, please contact the Town's ADA Coordinator at or call (804) 629-0888.

To reach the Town of Ashland Police Department's ADA liaison, please contact Officer Chip Watts at or call (804) 412-0615.

ADA Accommodation Request Form

  1. What type of accommodation are you requesting?*
  2. Contact Information of Individual Needing Accommodation
  3. Contact Information of Requesting Individual, if different.
  4. Detailed Information about Request:
  5. Leave This Blank:

  6. This field is not part of the form submission.