California Department of Transportation

ADA Access Request Form

ISA Symbol
For information regarding the Caltrans
ADA Infastructure Program or to
contact the Caltrans Statewide ADA
Coordinator, please click
Arrow For information regarding the Caltrans ADA Infrastructure Program, please click here
Complete this form to;
  • Submit an access request;
  • To express disability related concerns or;
  • To file a formal Grievance
Pertaining to accessibility concerning the California Department of Transportation's (Caltrans) Infastructure, Programs, Services or Activities. To ensure your request is handled effectively and timely please complete all fields.
Are you an individual with a disability?
Alternate Formats
This form is also available in alternate accessible
formats upon request, by phone or in writing to;
Attn: AIU
P.O. Box 1444
Rocklin, CA 95677
(855) 259-1825

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