Barrier Removal Requests

If you are an individual with a disability that has encountered a physical or structural barrier located within the City right-of-way and wish to make the City aware of the problem, please complete the form below.

See barrier examples

Barrier Removal Request Form

Please complete the entire form. Please note, if the information you provide is incomplete or the City has questions about your request, we may not be able to fully investigate if we cannot contact you.

If you need assistance filling out this form, please contact the Accessibility Program at accessibility@bendoregon.gov or call (541) 693-2198.

Note: If you are NOT an individual with a disability and have a request pertaining to the City’s public right-of-way, please submit a service request.

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Email(Required)

Phone(Required)

Address/Location of Physical or Structural Barrier

Street where barrier exists:(Required)

Nearest cross street where barrier exists:(Required)

Starting location: (address, district, neighborhood, etc.)(Required)

Destination location: (address, district, neighborhood, etc.)(Required)

Enter the location you are/were trying to get to.

Barrier Removal Request Description

Describe how the barrier impacted or affected your ability to travel within the City right-of-way. Please be specific as to how the barrier is affecting the person with a disability (if not self) in traveling in the City's right-of-way. Provide destination location if applicable.(Required)

For example, the barrier is preventing the ability of the person to get to a bus stop, shopping center, park, etc.

Please upload any additional documents or photos to support your barrier removal request.

Accepted file types: gif, jpg, jpeg, png, doc, docx, xls, xlsx, rtf, pdf, txt, Max. file size: 128 MB.

These sidewalk examples may include heaving, spalling (surface deficiencies), lifting due to tree root, cracking, etc.

Heaved (lifted) sidewalk at joing with next panel.

Tree root damaged (lifted) sidewalk.

Sidewalk with surface deterioration.

These may include sidewalks with missing curb ramps at corners (vertical curbs), sidewalks that abruptly ends (dead end) with no access to street level, etc.

Sidewalk ends in vertical curb, no access to street level (missing curb ramp).

Sidewalk upruptly ends, no access to street level.

Contacts

Cassandra Kehoe (She/Her)
Accessibility & Equity Manager and COBAAC Staff Liaison 541-693-2141 ckehoe@bendoregon.gov
Have a question about Accessibility?
Emails sent to this address go to an inbox accessible by Accessibility Program staff. 541-693-2198 accessibility@bendoregon.gov

Barrier Removal Requests

Barrier Removal Request Form

Address/Location of Physical or Structural Barrier

Barrier Removal Request Description

Barrier Examples

Heaved (lifted) sidewalk at jointing with next panel

Tree root damaged (lifted) sidewalk

Sidewalk with surface deterioration

Sidewalk ends in vertical curb, no access to street level (missing curb ramp)

Sidewalk abruptly ends, no access to street level

Contacts

Cassandra Kehoe (She/Her)

Have a question about Accessibility?