ADA Accommodation Request

Request a disability-related accommodation for a Kentucky Department of Fish and Wildlife Resources program, service, or activity.

Disability licenses and permits

This page is not for submitting disability license paperwork. Visit My Profile to upload the documentation needed for disability license approval.

For the Mobility Impaired Access Permit and other disability-related hunting permits, visit Hunting Method Exemptions. Follow the instructions for the applicable permit, including the required healthcare provider signature.

Fields marked (required) must be completed.

Accommodation

Accommodation needed (required)

Describe the disability-related assistance you need to participate. Maximum 4,000 characters.

Date and time

Enter a date and time, or a recurring schedule.

Facility or location

Tell us where the program, service, or activity will take place.

About you

Name (required)

Address

Address 2

City / town

State

ZIP code

How can we contact you?

Email (required)

Primary phone (required)

Alternate phone

Your request will be reviewed by our Information Center. For help with this form, email Info.Center@ky.gov.

Civil rights complaints

This agency receives Federal financial assistance from the U.S. Fish and Wildlife Service. Under Title VI of the 1964 Civil Rights Act, Section 504 of the Rehabilitation Act of 1973, Title II of the Americans with Disabilities Act of 1990, the Age Discrimination Act of 1975, and Title IX of the Education Amendments of 1972, the U.S. Department of the Interior prohibits discrimination on the basis of race, color, national origin, age, sex, or disability.

If you believe that you have been discriminated against in any facility, program, or activity, or if you need more information, please write to:

Office of Civil Rights
U.S. Department of the Interior
1849 C Street, NW
Washington, D.C. 20240