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Monday, January 13, 2025

Florida State Courts System Title II ADA Accommodation Request Form

1. Date request submitted:

2. Person needing accommodation

Name:

Are you (please check one of the following seven options):

Defendant

Litigant

Witness

Juror

Victim

Attorney

Other (please specify):

3. Contact information for person needing accommodation

Street or P.O. Box:

City:

State:

Zip Code:

Email Address:

Telephone Number:

4. Person making request (if other than the person needing the accommodation)

Name:

Email Address:

Telephone Number:

Relationship to person needing an accommodation:

5. Case information (if applicable)

Style of case (case title), if known:

Case number, if known:

Judge, if known:

Date accommodation needed:

Time accommodation needed:

Location (courthouse/courtroom) accommodation needed:

Duration for which the accommodation is requested:

Type of case, if known (please check one of the following ten options):

appeal

circuit criminal

circuit civil

family court

probate, guardianship, or mental health:

county criminal

county civil

traffic court

small claim

Other (please specify):

Type of proceeding, if known (please check one of the following six options):

arraignment

bond hearing

hearing

trial

appellate oral argument

Other (please specify):

6. Accommodations requested

Nature of disability that necessitates accommodation:

Accommodation requested (please check one of the following six options):

Assistive listening device (Assistive listening systems work by increasing the loudness of sounds, minimizing background noise, reducing the effect of distance, and overriding poor acoustics. The listener uses a receiver with headphones or a neckloop to hear the speaker.)

Communication access real-time translation/real-time transcription services (CART is a wordfor- word speech-to-text interpreting service for people who need communication access. A rendering of everything said in the courtroom will appear on a computer screen. CART is not an official transcript of a court proceeding.)

Sign Language Interpreter (Please specify American Sign Language, oral interpreter, signed English, or other type of signing system used by pensons with hearing loss.):

Assignment to a courtroom that is accessible to a person using a mobility device (Please specify wheelchair, scooter, walker, or other mobility device that is used.):

Provision of court documents in an alternative format (Please specify Braille, large print, accessible electronic document, or other accessible format used by persons who are blind or have low vision.):

Other accommodation (please specify):

Courthouse Locations

Coral Gables Branch Courthouse
Dade County Courthouse
Hialeah Branch Courthouse
Lawson E. Thomas Courthouse Center
Miami Beach Branch Courthouse

Courthouse Locations

Miami-Dade Children’s Courthouse
North Dade Justice Center
Overtown Transit Village South
Richard E. Gerstein Justice Building
South Dade Justice Center

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Prohibited Items on Courthouse Premises

Please be aware that certain items are prohibited on courthouse premises. If any listed prohibited item is detected to be in your possession when entering a court facility, you will be asked to exit the facility to secure the item elsewhere or dispose of it, before being allowed entry into the facility.

Aerosol Sprays
Alcohol
Ammunition (Bullets / Magazines / Clips)
Bladed Items / Weapons
Chemical Sprays / Liquids
Explosive Materials/Powders/ Devices
Firearms
Fireworks / Explosives
Flammable Liquids
Handcuff Keys
Illegal Drugs

Incendiary Devices
Knives of Any Type / Size
Laser Pointers
Lighters / Matches
Liquids
Mace / Pepper Spray
Metal Utensils / Tools
Oversized Belt Buckles
Restraining Devices
Sharp Pointed Objects
Stun Guns / Tasers

All other destructive devices and/or additional items not listed above, but considered dangerous, may be confiscated.

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