City of Beaverton Form

Questions about whether the information you submit is private: please read the City of Beaverton Web Site Privacy Policy.

Further questions about the City’s privacy policy: send an email to citymail@BeavertonOregon.gov.

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Request for Accommodations and Response

  1. A. Contact Information

  2. B. Request for Accommodation

  3. Please specify the reasons you are requesting accommodation

    Check all that apply

  4. Describe the accommodation you are requesting:

    Check all that apply

  5. Leave This Blank:

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