Barrier Removal Request Form

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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/questionnaire below.

Please complete the entire questionnaire. 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 with filling out the below questionnaire, please contact the Accessibility Program or call at (541) 693-2198.


  1. To receive a copy of your submission, please fill out your email address below and submit.

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