Florida State Courts System ADA Title II Accommodation Request Form - Nassau

Right to an Accommodation

If you are an individual with a disability who needs an accommodation in order to participate in a Court proceeding or other Court service, program or activity, you are entitled, at no cost to you, to the provision of certain assistance. Requests for accommodations may be presented on this online form, in another format, or orally. Please complete this PDF form and return it to the ADA Coordinator at (904) 548-4600 then press 0, or 255-1695 (or 711 Florida Relay Service); or Nassau County Judicial Annex, Attention: Bailiff's Office, 76347 Veterans Way, Yulee, FL 32097; or CrtIntrp@coj.net as far in advance as possible, but preferably at least seven (7) days before your scheduled Court appearance or other Court activity. You can also submit the form online as indicated below.

Upon request by a qualified individual with a disability, this document will be made available in an alternate format. If you need assistance in completing this form due to your disability, or to request this document in an alternate format, please contact the ADA Coordinator at (904) 255-1695 (or 711 Florida Relay Service.)

ADA Accommodations Provided by Florida Courts

Pursuant to Title II of the Americans with Disabilities Act the Florida State Courts System will make reasonable modifications in policies, practices and procedures; furnish auxiliary aids and services; and afford program accessibility through the provision of accessible facilities, the relocation of services and programs, or the provision of services at alternative sites, as appropriate and necessary.

Examples of auxiliary aids or services that the State Courts System may provide for qualified individuals with disabilities include:

  • Assistive Listening Devices
  • Qualified ASL or other types of interpreters for persons with hearing loss
  • Communication access real-time translation / Real-time transcription services
  • Accessible formats such as large print, Braille, electronic document or audio tapes
  • Qualified readers

* This form was developed for use by individuals with disabilities who may require a modification in a policy, provision of an auxiliary aid or service, or assignment to an accessible location in order to participate in a Court proceeding or other Court service, program or activity that is covered by Title II of the Americans with Disabilities Act. Court employees with disabilities who need a reasonable accommodation to be able to perform the essential functions of their jobs should contact their immediate supervisor, the ADA Coordinator for their Court, the OSCA Office of Personnel Services, or the State Courts ADA Coordinator.

Accommodations that are granted by the state Courts are made at no cost to qualified individuals with disabilities.

Aids/Services the Courts Cannot Administratively Grant as ADA Accommodations

Examples of aids or services the Florida State Courts System CANNOT provide as an accommodation under Title II of the Americans with Disabilities Act include:

  • Transportation to and from the Courthouse
  • Legal counsel or advice
  • An official transcript of a Court proceeding
  • Personal devices such as wheelchairs, hearing aids or prescription eyeglasses
  • Personal services such as medical or attendant care
  • Readers for personal use or study

Additionally, the Courts cannot administratively grant, as an ADA accommodation, requests that impact Court procedures within a specific case. Requests for an extension of time, a change of venue, or participation in Court proceedings by telephone or videoconferencing must be submitted by written motion to the presiding judge as part of the case. The judge may consider an individual's disability, along with other relevant factors, in granting or denying the motion.

Furthermore, the Court cannot exceed the law in granting a request for an accommodation. For example, the Court cannot extend the statute of limitations for filing an action because someone claims that he or she could not make it to the Court on time due to a disability, nor can the Court modify the terms of agreements among parties as an ADA accommodation.

Finally, the Americans with Disabilities Act (ADA) does not require the Courts system to take any action that would fundamentally alter the nature of Court programs, services or activities or that would impose an undue financial or administrative burden on the Courts.

Please note that providing accommodations for some individuals with disabilities who appear in the Courtroom as part of their employment duties or professional practice is a responsibility that appropriately may be shared by the individual's employer and the Courts. Title I of the Americans with Disabilities Act requires employers of 15 or more employees and Title II of the Americans with Disabilities Act requires all state and local government employers to provide reasonable accommodations to qualified employees with disabilities. In addition, Section 504 of the Rehabilitation Act of 1973, as amended, covers recipients of federal funding, and requires all covered organizations to provide accommodations for their employees. These responsibilities are concomitant with the Courts' responsibility under Title II of the ADA. It is to everyone's benefit when employers and the Court system work together to ensure that reasonable accommodations for individuals with disabilities are provided in the most efficient and cost effective manner.

Documentation of the Need for Auxiliary Aids and Services

If an individual has a disability that is not obvious, or when it is not readily apparent how a requested accommodation relates to an individual's impairment, it may be necessary for the Court to require the individual to provide documentation from a qualified health care provider in order for the Court to fully and fairly evaluate the accommodation request. These information requests will be limited to documentation that (A) establishes the existence of a disability; (B) identifies the individual's functional limitations; and (C) describes how the requested accommodation addresses those limitations. Any cost to obtain such documentation is the obligation of the person requesting the accommodation.

Person Needing Accommodation

Contact Information for Person Needing Accommodation

( ) -

Person Making Request (if other than the person needing the accommodation)

( ) -

Case Information

Type of case, if known (please select one):

Type of proceeding, if known:

Accommodations Requested

Accommodation Requested: